• Title/Summary/Keyword: 유미복수

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Lymphangioleiomyomatosis with Bilateral Chylothorax -1 case report- (양측 유미흉을 동반한 림프관평활근종증)

  • 김시욱;최재성;나명훈;임승평;이영;유재현
    • Journal of Chest Surgery
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    • v.37 no.12
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    • pp.1029-1031
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    • 2004
  • We had expierienced pulmonary lymphangioleiomyomatosis(LAM) with bilateral chylothorax and chylous ascites. A twenty-one-year-old lass with chief complaint of abdominal pain was admitted through the emergency room. She received emergent pelvicoscopic surgery for the rupture of the right corpus luteum. We aspirated 1000ml of the uncoagulated blood. The bleeding point was cautherized electrically. LAM was diagnosed with tissue from the retroperitoneum. Chylous ascites and bilateral chylothorax were occurred despite of various treatments. On thoracotomy, bullous changed lung and lymphatic leakage from visceral and parietal pleura were observed. She died of respiratory insufficiency and general weakness after 6 months from admission.

A case of post-operative chylous ascites after a splenorenal shunt operation in a child with congenital hepatic fibrosis (선천성 간섬유화증에서 비-신장 문합수술 후에 발생한 소아의 유미성 복수증 1례)

  • Yoon, Jong Hyung;Yang, Hye Ran;Ko, Jae Sung;Seo, Jeong Kee
    • Clinical and Experimental Pediatrics
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    • v.49 no.10
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    • pp.1106-1110
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    • 2006
  • Chylous ascites is a rare condition caused by various diseases and conditions that interfere with the abdominal or retroperitoneal lymphatics, and uncommonly it can manifest as a post-operative complication after abdominal, retroperitoneal or mediastinal surgery. Chylous ascites can be diagnosed by a high triglyceride content in ascites. The authors experienced a 5-year-old girl with congenital hepatic fibrosis who presented with chylous ascites after a splenorenal shunt operation, who was successfully managed by fasting and total parenteral nutrition, followed by a lipid-free diet with medium chain triglyceride supplementation. Here, the authors report this case of post-operative chylous ascites after a splenorenal shunt (Warren shunt) operation with a review of the pertinent literature.

Clinical Analysis of Chylous Ascites after Surgery for Gastric Cancer (위암수술 후 발생한 유미성 복수증의 임상적 고찰)

  • Hong Jeong Hun;Min Byung Wook;Lee Gyung Bum;Mok Young Jae
    • Journal of Gastric Cancer
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    • v.2 no.1
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    • pp.20-25
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    • 2002
  • Purpose: Chylous ascites is an accumulation of lymphatic fluid within the peritoneal cavity due to trauma or to an obstruction on the lymphatic system. Postoperative chylous ascites is a rare complication of abdominal surgery. It is frequently reported after retroperitoneal dissections and results in high morbidity and mortality. However, there have been few report of such a complication following a radical gastrectomy. Therefore, we review the clinical analysis and treatment of chylous ascites based on our experience. Materials and Methods: From July 1992 to June 2001, we treated 13 cases of chylous ascites after operations for gastric cancer. We reviewed medical charts of those patients retrospectively. Results: The incidence of chylous ascites after operations for gastric cancer was $0.83\%$ (13/1552). The mean time from ingestion of a meal after the operation to the development of symptoms was 2 days (range: $1\∼6$ days). Conservative treatment by fasting, total parenteral nutrition (TPN), and repeated paracentesis was successful in all patients. The mean time from diagnosis to complete resolution was 25 days (range: $2\∼105$ days). Conclusion: Chylous ascites should be considered in any patient with a typical milky color of drainage who has recently undergone radical gastrectomy. Treatment with fasting, TPN, and repeated paracentesis usually is successful.

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A clinical study of congenital chylothorax and octreotide therapy (선천성 유미흉의 임상적 고찰과 옥트레오타이드 치료)

  • Oh, Ung Geon;Choi, Kyoung Eun;Kim, Kyung Ah;Ko, Sun Young;Lee, Yeon Kyung;Sin, Son Moon
    • Clinical and Experimental Pediatrics
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    • v.51 no.11
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    • pp.1172-1178
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    • 2008
  • Purpose : Congenital chylothorax is an accumulation of lymphatic fluid within the pleural space. It is a common cause of unidentified hydrops fetalis. We examined the perinatal history, clinical manifestation, diagnosis, treatment, and outcome in 6 newborns diagnosed to have congenital chylothorax with hydrops fetalis. We also studied the effect of octreotide therapy for congenital chylothorax in relation to conservative treatment. Methods : We retrospectively reviewed the medical records of 6 patients diagnosed to have congenital chylothorax with hydrops fetalis among 27,907 newborns who were born at the Cheil General Hospital and Womens Healthcare Center between January 2004 and July 2007. The diagnosis of chylothorax is based on the analysis of pleural fluid before and after milk feeding. Results : Incidence of congenital chylothorax in this study was 0.021%. All 6 cases were noted in over the 92% lymphocyte in pleural analysis. Transudate was changed into chyle with increasing triglyceride levels above 200 mg/dL after milk feeding. Three of 6 infants improved with conservative treatment, including thoracostomy and assisted ventilation. The others had persistent symptoms despite conservative treatment and responded to octreotide therapy. A complication, specifically vomiting was noted in 1 case during octreotide therapy. Conclusion : In this study, octreotide therapy resulted in a safe and excellent outcome. Therefore, octreotide therapy is considered in severe refractory congenital chylothorax in conservative treatment. Further studies are required to determine appropriate guidelines for octreotide therapy.

Chylous Ascites After Aorto-Bifemoral bypass Graft (대동맥-양측대퇴동맥 우회술 후 발생한 유미 복수)

  • Jo, Gyu-Cheol;Kim, Dong-Won;Yu, Se-Yeong
    • Journal of Chest Surgery
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    • v.27 no.9
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    • pp.798-800
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    • 1994
  • Chyloascities is an extravasation of milky chyle into the peritoneal cavity due to tumor , inflammation or rarely postoperative lymphatic trauma.It is an unusual complication that can lead to significant immunologic and nutritional consequences.We experienced one case of chyloascites after aorto-bifemoral bypass graft in a patient with aorto-iliac occlusive disease.The patient was a 62-year-old male, who suffered from severe progressive claudication for 5 months. A 16$\times$ 8mm gelsealed Dacron-Y shaped graft was used in arterial reconstruction. A bloody-milky fluid was drained through the operative wound from 3days after operation and evaluated biochemically.Diagnosis of chyloascites was made with repeated paracentesis and examination of the fluid.After Total parenteral nutrition[T.P.N] for 3 weeks from 6days after operation, chyloascites was controlled sufficiently and maintained a good graft-patency in abdominal sonogram.

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Hybrid Palliation for Functionally Single Ventricle with Systemic Outflow Obstruction (단심증에서의 Hybrid 고식술)

  • Cho, Won-Chul;Song, Kwang-Jae;Jung, Sung-Ho;Kim, Young-Hwee;Yun, Tae-Jin
    • Journal of Chest Surgery
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    • v.39 no.12 s.269
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    • pp.927-930
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    • 2006
  • Hybrid procedure was performed for a thirteen-day-old girl with a functionally single ventricle, who weighed 2.2 kg and had been prematurely born at $32^{+5}$ weeks of gestation. She underwent bilateral pulmonary artery banding using 3.5 mm Gore-Tex graft, ductal stenting using balloon expandable stent, and reverse Blalock-Taussig shunt with 3.5 mm Gore-Tex vascular graft. After discharge, she was followed up for 4 months, and underwent 2nd stage operation(extensive arch reconstruction with Damus-Kaye-Stansel anastomosis, atrial septectomy, bilateral pulmonary artery angioplasty, bidirectional cavopulmonary shunt). She has been followed up for 4 months after the 2nd operation with an excellent clinical condition.

Restrictive Cardiomyopathy in a Korean Domestic Short-haired Cat (코리안 숏헤어 고양이의 제한성 심근병증)

  • Nam, Hyo-Seung;Han, Suk-Hee;Choi, Ran;Lee, Seung-Gon;Hyun, Chang-Baig
    • Journal of Veterinary Clinics
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    • v.29 no.3
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    • pp.242-246
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    • 2012
  • A 3-year-old castrated male Korean domestic short-haired cat (weighing 5.2 kg) was referred to the Kangwon National University Veterinary Teaching Hospital, with primary complaints of ascites, pleural effusion and respiratory distress. Diagnostic studies revealed marked chylous and hemorrhagic pleural effusion, cardiomegaly, restrictive filling pattern of transmitral flow and mitral annular tissue Doppler profiles and minimally thickened left ventricular free wall. Based on the echocardiographic findings, the case was tentatively diagnosed as restrictive cardiomyopathy. The case was treated with removal of pleural effusion and medical therapy including furosemide, enalapril, sildenafil, clopidogrel. This is the first case report of restrictive cardiomyopathy in Korea.

Anaphoric Resolution in Anomia and Wernike Aphasia (실어증에서 나타나는 참조어 정보처리과정의 특성 : 명칭 실어증과 이해성 실어증을 중심으로)

  • Kim, Ga-Young;Hwang, Yu-Mi;Moon, Young-Sun;Park, Yoon;Nam, Ki-Chun
    • Annual Conference on Human and Language Technology
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    • 1999.10e
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    • pp.455-461
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    • 1999
  • 본 연구의 목적은 실어증 화자가 참조어(대명사)를 이해하고 표현하는데 있어서의 오류 반응을 살펴봄으로써 참조어에 관한 처리기제를 알아보는 것이다. 본 연구에서는 명칭성 실어증 환자와 이해성 실어증 환자를 대상으로 하였으며, 각각의 환자에게 두 가지 실험을 진행하였다. 실험 1은 정오판정 과제로 문장, 혹은 문단을 제시하고 사용된 참조어가 옳은지 그른지를 판정하도록 하는 것이다. 실험 2는 채워넣기 과제로 문장, 문단을 제시하고 괄호 안에 들어갈 참조어를 보기에서 고르도록 하는 것이다. 사용된 참조어는 인칭 대명사와 지시 대명사, 그리고 지시 관형사였다. 인칭 대명사의 경우는 인칭과 수로 나누어 각각 1인칭, 2인칭의 단수 복수로 구분하여 제시되었으며, 문장 내에서 각각 주격조사 '가', 보조사 '는', 소유격조사 '의'와 결합되어 제시되었다. (나는, 너는, 우리는, 너희는/ 내가, 너가, 우리가, 너희가/ 나의, 너의, 우리의, 너희의) 지시 대명사의 경우는 사물을 나타내는 것과 장소를 나타내는 것으로 구분되어 제시되었다. (이것, 그것, 저것/ 이곳, 그곳, 저곳) 지시 관형사의 경우는 '이', '그', '저'가 각각 명사와 결합되어 제시되었는데 지시대명사로 분류하였다. 실험결과는 실험과제간(정오판정, 채워넣기), 실험재료간(인칭 대명사, 지시 대명사)의 차이로 분석될 수 있다. 또한 인칭 대명사와 지시 대명사 내에서도 각각의 재료들 간에 오류반응의 특징이 있는 것으로 나타났다 이로 미루어 볼 때 참조어 범주간 별개의 처리과정이 작용하는 것이라고 생각할 수 있다. 물론 인칭대명사와 지시대명사가 사용되는 문맥적 상황, 대명사의 개념적 거리, 빈도, 사용된 문장의 길이 등 여타의 요소들도 고려되어야 할 것이다. 보조용언으로 쓰일 때 어휘적 의미가 전혀 활성화되지 않아 정상인과는 다른 언어처리를 하고 있음이 밝혀졌다.류의 의미가 모두 활성화되는 것을 보여 주었다. 즉, "먹은"과 간은 어절 이해는 구성 형태소로의 분석과 구성 형태소 어휘 접근을 통해 어절 이해가 이루어진다는 가설을 지지하고 있다. 실험 2에서는 실험 1과 다르게 한 뜻으로만 안일 수밖에 없는 "쥐어"와 같은 어절을 사용하여 이런 경우에도(즉, 어절의 문맥이 특정 뜻으로 한정하는 경우) 구성 형태소로의 분석 과정이 일어나는지를 조사하였다. 실험 2의 결과는 실험 1의 결과와는 다르게 어간의 한가지 의미와 관련된 조건만 촉진적 점화 효과가 나타나는 것을 보여주었다. 특히, 실험 2에서 SOA가 1000msec일 경우, 두 의미의 활성화가 나타나는 것을 보여주었는데, 이 같은 결과는 어절 문맥이 특정한 의미로 한정시킬 경우는 심성어휘집에 활용형태로 들어있다는 것이다. 또한 명칭성 실어증 환자의 경우에는 즉시적 점화과제에서는 일반인과 같은 형태소 처리과정을 보였으나, 그이후의 처리과정이 일반인과 다른 형태를 보였다. 실험 1과 실험 2의 결과는 한국어 어절 분석이 구문분석 또는 활용형태를 통해 어휘 접근되는 가설을 지지하고 있다. 또 명칭성 실어증 환자의 경우에는 지연된 점화과제에서 형태소 처리가 일반인과 다르다는 것이 밝혀졌다. 이 결과가 옳다면 한국의 심성 어휘집은 어절 문맥에 따라서 어간이나 어근 또는 활용형 그 자체로 이루어져 있을 것이다.으며, 레드 클로버 + 혼파 초지가 건물수량과 사료가치를 높이는데 효과적이었다.\ell}$ 이었으며 , yeast extract 첨가(添加)하여 배양시(培養時)는 yeast extract 농도(濃度)가 증가(增加)함에

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A study on the predictability of acoustic power distribution of English speech for English academic achievement in a Science Academy (과학영재학교 재학생 영어발화 주파수 대역별 음향 에너지 분포의 영어 성취도 예측성 연구)

  • Park, Soon;Ahn, Hyunkee
    • Phonetics and Speech Sciences
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    • v.14 no.3
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    • pp.41-49
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    • 2022
  • The average acoustic distribution of American English speakers was statistically compared with the English-speaking patterns of gifted students in a Science Academy in Korea. By analyzing speech recordings, the duration time of which is much longer than in previous studies, this research identified the degree of acoustic proximity between the two parties and the predictability of English academic achievement of gifted high school students. Long-term spectral acoustic power distribution vectors were obtained for 2,048 center frequencies in the range of 20 Hz to 20,000 Hz by applying an long-term average speech spectrum (LTASS) MATLAB code. Three more variables were statistically compared to discover additional indices that can predict future English academic achievement: the receptive vocabulary size test, the cumulative vocabulary scores of English formative assessment, and the English Speaking Proficiency Test scores. Linear regression and correlational analyses between the four variables showed that the receptive vocabulary size test and the low-frequency vocabulary formative assessments which require both lexical and domain-specific science background knowledge are relatively more significant variables than a basic suprasegmental level English fluency in the predictability of gifted students' academic achievement.