• 제목/요약/키워드: 조광조

검색결과 51건 처리시간 0.018초

대동맥축착증의 외과적 치료

  • 성시찬;편승환;서정욱;조광조;우종수
    • 대한흉부심장혈관외과학회:학술대회논문집
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    • 대한흉부외과학회 1996년도 제 28차 추계학술대회 및 총회 대한흉부외과학회
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    • pp.35-35
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    • 1996
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복강동맥류의 수술치험 2예 (Surgical Treatment for Celiac Trunk Aneurysm -2 case report -)

  • 이길수;방정희;우종수;이재익;김시호;조원준;조광조
    • Journal of Chest Surgery
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    • 제36권9호
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    • pp.695-698
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    • 2003
  • 복강동맥류(celiac trunk aneurysm)는 내장동맥류(Splanchnic artery aneurysm)의 4%밖에 이르지 않는 매우 희귀한 질병으로 다른 동맥류와는 달리 죽상동맥경화증과 혈관중막의 퇴행성 변화(medial degenerative change)가 주원인으로 알려져 있다. 대부분 특이 증상 없이 우연히 발견되는 복강동맥류는 파열시 약 80%의 사망률을 보이므로 진단 시 적극적인 치료의 개입이 요구된다. 저자들은 최근 2예의 복강동맥류 환자를 동맥류 문합술과 동맥류 제거술 및 우회로술로 치료하여 좋은 결과를 얻었다.

좌 관상동맥-폐동맥 이상 기시증 수술치험 1례 (Anormalous Origin of Left Coronary Artery from Pulmonary Artery)

  • 조광조;편승환
    • Journal of Chest Surgery
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    • 제30권10호
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    • pp.1024-1027
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    • 1997
  • 좌 관상동맥 폐동맥 이상 기시증은 드문 선천성 심기형으로 유아기에 심부전을 일으키는 질환으로서 수술적인 치료를 하지 않을 경우 대부분 치명적인 것으로 알려져 있다 대혈관 전위의 교정술이 보편화되면서 신생아에서 관상동맥 이식에 대한 기술이 발전되어 근래에는 좌 관상동맥을 대동맥에 이식하여 이중 관상동 맥 체계를 만들어주는 수기가 본 질환의 일차 선택 수술법으로 인정되고 있다. 본 교실에서는 심부전으로 입원한 생후 44일된 여아에서 좌 관상동맥 폐동맥 이상 기시증이 발견되어 좌 관상동맥 대동맥 이식술로 치 료하여 좋은 결과를 얻었으므로 문헌 고찰과 함께 보고하는 바이다.

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양 표재성대퇴정맥을 이용한 복부 인조혈관 감염증 치험 1예 (A Case of Surgical Treatment of the Abdominal Aortic Graft Infection with Bilateral Superficial Femoral Vein)

  • 우종수;방정희;조광조
    • Journal of Chest Surgery
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    • 제37권10호
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    • pp.880-883
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    • 2004
  • 복부 인조혈관 감염증은 매우 심각한 상태로서 문합부 파열로 심한 출혈이나 급성 말초 색전증으로 하지 허혈을 유발하여 사망률이 높고 치료하기 어려운 질환으로 치료에 대한 논란이 많은 질환이다. 저자는 복부대동맥류 수술 후 약 1년 후에 발생한 인조혈관 감염증례를 양 허벅지 심부정맥인 표제성 대퇴정맥을 사용하여 재치환하여 좋은 결과를 얻었기에 문헌과 함께 보고한다.

소아 흉벽에 생긴 Askin`s tumor 1례 (Askin Tumor[Peripheral Neuroectodermal Tumor of the Chest Wall] - A Case Report -)

  • 조광조;김영대;정황규
    • Journal of Chest Surgery
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    • 제25권12호
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    • pp.1422-1427
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    • 1992
  • Askin tumor is rare malignant small round cell tumor that orgins from interconstal nerve of chest in children It was not until 1979 that Askin first reported that tumor. Although few sporadic reports had been reported, its incidence were too low to analize its clinical featurs. That tumors prognosis is so grave that no therapy would success to cure, but early diagnosis and enbloc excision with following combind chemotherapy and radiotherapy will prolong their survival. Other small round cell tumors of chest wall that must differentiate are Ewing`s sarcoma, rhabdomyosarcoma, lymphoma, neuroblastoma and pulmonary bla-stoma. The most prominant histologic charactersistics of this tumor is neuron specific eno-lase which is detected with immunohistochemistry technique, and neurosecretary electron dense granules within cytoplasm. We expirienced a case of Askin tumor occuring 12-year-old female who has huge right lower chest mass with dull chest pain. She have been underwent excision and postoperative radiotherapy. We are following her up for months and there is no evidence of local recurrence.

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중증근무력증의 광범위 흉선 절제술 (Extended Thymectomy in Myasthenia Gravis)

  • 조광조
    • Journal of Chest Surgery
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    • 제25권12호
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    • pp.1516-1522
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    • 1992
  • Thirty patients with myasthenis gravis[MG] underwent transternal extended thymectomy between 1983 and 1992 in Pusan National University Hospital. The age of patients was 11 to 62 years[mean; 35.2 years] with female dominant[M: F=l: 4]. According to modified Osserman classification, group I was in 6, II A in 7, II B in 13, III in 2, IV in 2 patients respectively. Their clinical response to thymectomy was evaluated. The follow-up period ranged from 2 months to 9.5 years[average; 51.3 months]. Fourteen patients[13.3%] had remission and eleven[43.3%] were improved after operation; half of patients were benefited from operation. Twenty patients had thymic hyperplasia and seven had non-infiltrating thymoma. In thymomatous MG one patient had remission and five were improved. Postoperative death was in a female patient. The cause of death was respiratory failure in the severe generalized MG preoperatively.

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결핵성 폐동맥 협착증 치험 1 례 (Acquired pulmonary stenosis secondary to tuberculosis -A case report-)

  • 조광조;우종수;성시찬;최필조;손춘희
    • Journal of Chest Surgery
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    • 제32권12호
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    • pp.1140-1143
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    • 1999
  • Acquired pulmonary artery stenosis which is secondary to tuberculosis is so rare that only a few scattered cases have been reported. We report one case of pulmonary stenosis caused by pulmonary tuberculosis.l A 50 year old man who gradually developed dyspnea was diagnosed as bilateral pulmonary stenosis, he underwent bypass surgery between the main diagnosed as bilateral pulmonary stenosis. he underwent bypass surgery between the main pulmonary artery and the right pulomonary artery with a 13mm Gortex ringed straight graft. The left pulmonary artery was too small to restore the perfusion. The patient was discharged on the 33rd day after the operation. Acquired pulmonary stenosis could be treated successfully with one-side pulmonary arery reconstruction.

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