• Title/Summary/Keyword: 폐허

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Re-Expansion Pulmonary Edema Associated with Resection of Ruptured Hlediastinal Thymic Cyst -A Case Report (파열된 종격동 흉선낭종의 절제술후 동반된 재팽창성 폐부종 -1례 보고-)

  • Jo, Deok-Geun;Lee, Jong-Ho;Gwak, Mun-Seop
    • Journal of Chest Surgery
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    • v.30 no.11
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    • pp.1149-1153
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    • 1997
  • Unilateral reexpansion pulmonary edema(RPE) is generally considered a rare complication occurring when a chronically atelectatic lung is rapidly reexpanded by tube thoracostomy or thoracentesis. It can also take place when the lung collapse is of short duration or when the lung is reexpanded without intrapleural sucti n. We experienced a case of RPE following surgical resection in mediastinal thymic cyst A 26 year old female patient suffered from long-standing atelectasis of the right lung due to a huge mediastinal cyst that was misrecognized as tuberculous pleural effusion. Empyema developed after iatrogenic rupture of mediastinal cyst by pig-tailed tube thoracostomy. We successfally managed the ruptured mediastinal thymic cyst, empyema and postoperatively developed RPE following reexpansion of the collapsed lung. The patient was treated with drugs and mechanical ventilation with positive end-expiratory pressure for RPE. The remainder of her hospital course was uneventful.

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Broncholithiasis Caused by Actinomycosis (방선균에 의해 발생된 기관지 결석증)

  • Park, Jeong-Ok;Park, Seong-Sik;Kim, Sam-Hyun;Seo, Pil-Won;Ryu, Jae-Wook
    • Journal of Chest Surgery
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    • v.39 no.3 s.260
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    • pp.236-239
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    • 2006
  • A 32 year-old man was transferred to our hospital due to blood-tinged sputum for 15 days. He had been treated at a private hospital for recurrent pneumonia. The chest X-ray showed an atelectasis on the right middle lobe. Computed tomography of the chest demonstrated a broncholith on right middle lobar bronchus with lobar atelectasis of the right middle lobe. We tried to remove the broncholith through fiberoptic bronchoscopy, but could not remove it. Therefore, we performed surgical removal of broncholith and the right middle lobectomy. The cause of broncholith was identified as actinomycosis by pathologic examination. The broncholith caused by actinomycosis is rare. We report a rare case of broncholithiasis with recurrent obstructive pneumonia caused by actinomycosis, which was treated by surgical operation.

기계설비인 인터뷰 - "훌륭한 마침표 찍을 수 있도록 마지막 남는 힘까지 최선" 박성민 현대건설 상무

  • 대한기계설비건설협회
    • 월간 기계설비
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    • s.323
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    • pp.44-48
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    • 2017
  • 사무실에 뱀이 나타났다. 종합건설사들은 이 뱀을 어떻게 처리할까? 모 회사는 상부에 보고부터 한다. 어떤 업체는 협력업체를 부른다. 또 어떤 회사는 작전회의부터 한다. 또 다른 업체는 전 직원이 모여 회의를 한다. 직원이 바로 잡는 회사도 있다. 각 업체별 정체성을 우스개 소리로 표현한 말이다. 직원이 바로 잡는 업체는 바로 현대건설이다. 현대건설은 '불도저'란 또 다른 별명이 있다. 6.25 전쟁의 폐허 위에서 국토의 핏줄인 도로를 닦고 끊어진 다리를 연결하고 건물을 세우는 등 아무 것도 없는 불모지에서 불도저처럼 건설산업을 이끌어 왔기 때문이다. 건설산업 발전을 견인한 현대건설이 올해로 창립 70주년을 맞았다. 이번 호에는 지난 2월 7일 상무로 승진한 현대건설 박성민 상무(건축사업본부 건축기술지원실 실장)를 만나 보았다.

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How to develop overseas transmission business with Korean transmission technology (송변전 기술의 효과적인 해외시장 진출 방안)

  • Kim, Jong-Hwa
    • Proceedings of the KIEE Conference
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    • 2009.07a
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    • pp.329_330
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    • 2009
  • 한국전쟁의 폐허를 딛고 한세대 만에 세계최고수준의 전력 계통을 구축한 우리나라의 전력산업은 이제 성장한계에 이르러, 해외시장 진출을 통해 신성장동력을 확보하는데 주력하고 있다. 하지만 날로 치열해져 가는 국제경쟁의 틈바구니에서 세계 전력시장의 강자로 거듭나기 위해서는 전력산업의 전 분야에 걸쳐 보다 종합적이고 중장기적인 전략으로 접근하는 것이 필요하다. 한국전력의 해외사업은 1993년 발전 사업에 진출한 이래 성공적으로 확장을 거듭하고 있으나 글로벌 리더인 한국전력의 위상에 걸 맞는 시장 확보를 위해서는 발전뿐만 아니라 송변전, 배전, 통신 등 각 분야가 유기적으로 연결되어 시너지 효과를 창출해야 하고, 진출 대상국가의 전력산업 전체를 겨냥한 Total solution의 상품을 가지고 고객을 만족시킴과 동시에 수익을 극대화 해 나가야 한다. 이를 위해서는 전력계통 전체를 다루는 송변전기술을 이용한 기술마케팅을 통하여 진출대상국의 정보와 인맥을 확보한 뒤 이것을 바탕으로 리스크를 최소화 하고 수익성이 보장되는 발전 IPP사업 등 우량 사업을 개발하는 한편, 장차 그 나라의 전력시스템 전체를 한국화 해나감으로써 장기적인 시장을 확보하는 전략 아래 한국전력, 국내 전력업계 및 정부가 긴밀히 협력해 나가야 한다.

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글로벌 핫토크 - 결핵 선진국이 되는길 ${\cdots}$ 국민들의 적극적인 관심이 관건

  • 대한결핵협회
    • 보건세계
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    • v.63 no.2
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    • pp.4-6
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    • 2014
  • 우리나라가 경제협력개발기구(OECD)에 가입해 선진국 반열에 진입지도 벌써 17년이 지났고, 회원국들 가운데 개발도상국들을 위해 개발 원조를 시행하는 회원국이 된 지도 3년이 되어 간다. 한국전쟁 직후 폐허와 같은 상황 속에서 다른 나라의 원조 없이는 국가를 영위하기조차 힘들었던 우리나라가 당당히 세계의 어려운 나라를 돕는 선진국의 일원이 된 것이다. 하지만 최근 OECD 통계조사 결과를 토대로 살펴본 우리의 현실은 불명예스럽기 그지없다. 특히 결핵의 경우 우리나라 신규 결핵환자 수는 인구 10만 명당 100명 후진국 양상을 보이고 있다. 정말이지, 불명예스런 결과가 아닐 수 없다. 이 같은 사실을 외국인들은 어떻게 받아들이고 있을까? 이를 알아보기 위해 현재 대한결핵협회 홍보대사이자 한국외국인력지원센터에서 외국인노동자 전문 상담원으로 활동 중인 두 인물을 찾았다. 이들의 대화를 통해 앞으로 우리나라가 결핵 선진국 대열로 진입하기 위해 해결해야 할 문제점과 방안은 은 무엇인지 알아보자.

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A Case of Endobronchial Lipoma Causing Right Middle and Lower Lobes Collapse and Bronchiolitis Obliterans-organizing Pneumonia (우중하엽 폐허탈 및 폐쇄세기관지기질화 폐렴을 유발한 기관지 지방종 1예)

  • Son, Ji Young;Jung, Ji Ye;Ha, You Jung;Hong, Soo Jung;Jung, Min Kyu;Chung, Moon Jae;Seo, Yong Sung;Moon, Ji Ae;Byun, Min Kwang;Park, Byung Hoon;Moon, Jin Wook;Park, Moo Suk;Kim, Young Sam;Chang, Joon;Kim, Sang Kyum;Chung, Kyung Young;Kim, Se Kyu
    • Tuberculosis and Respiratory Diseases
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    • v.65 no.4
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    • pp.313-317
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    • 2008
  • Lipoma is a common neoplasm in soft tissues. However, an intrapulmonary lipoma is a rare benign tumor. Patients with a bronchial lipoma might have a malignant potential related to their smoking history due to the case reports of lung cancer accompanied with lipoma. Endobronchial lipoma can cause irreversible parenchymal lung damage if not diagnosed and treated early. Therefore, it should initially be treated by fiberoptic bronchoscopy or surgery depending on the status of distal parenchymal lung damage. Bronchiolitis obliterans with organizing pneumonia (BOOP) is a pathological syndrome that is defined by the presence of buds of granulation tissue consisting of fibroblasts and collagen within the lumen of the distal air spaces. BOOP is caused by drug intoxication, connective tissue disease, infection, obstructive pneumonia, tumors, or an unknown etiology. We encountered a 58 year-old male patient with endobronchial lipoma, causing the collapse of the right middle and lower lobes, and BOOP due to obstructive pneumonia.

A Case of Endobronchial Urokinase for Relief of Bronchial Obstruction by Blood Clots (좌측 주기관지 피덩이를 우로키나아제 기관내 국소주입으로 제거한 1예)

  • Choi, Jung;Lee, Sa Ra;Kwak, Choong Hwan;Pae, Hyun Hye
    • Tuberculosis and Respiratory Diseases
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    • v.55 no.3
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    • pp.297-302
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    • 2003
  • Background : Airway obstruction due to blood clot occurs unusually but in a variety of clinical settings. Initial efforts for removal of the endobronchial blood clot involve flexible bronchoscopic evaluation with saline lavage and suctioning and then forceps extraction. If unsuccessful, further options include rigid bronchoscopy, Fogarty catheter dislogement of the clot, and topical thrombolytic agents. The several successful uses of endobronchial streptokinase or urokinase to dissolve an endobronchial blood clot have been previously reported, but not yet in Korea. Herein we describe a 51-year old man with superior vena cava thrombosis secondary to Behcet's disease who experienced life threatening airway obstruction after hemoptysis due to a large organized blood clot in left main bronchus. Urokinase(260,000 U), injected through a fiberoptic bronchoscope, totally dissolved the clot. No complications occurred.

A literratual study on correlation of Pehuh(肺虛), Peson(肺損), Pero(肺勞) (폐허(肺虛) 폐손(肺損) 및 폐노(肺勞)의 상호관계(相互關係)에 대(對)한 문헌적(文獻的) 고찰(考察))

  • Lee, Han-Goo;Jung, Sung-Gi;Rhee, Hyung-Koo
    • The Journal of Internal Korean Medicine
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    • v.3 no.1
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    • pp.41-48
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    • 1986
  • 1. The cause of Pehuh is deficiency of Peki(肺氣). Symptoms are tachypnea, thirst and deafness of hemoptysis. In treatment, control it's Ki(氣). 2. The cause of Peson is in addition to Pehuh Pimo(皮毛) is demaged by heat and cold. Symptoms are alopecia, cough, sputum, fever and chill. In treatment, supply it's Ki. 3. The cause of Pero is it's Ki which is demaged by lie down for a long time or because of anxiety Sang Ryum Hueng Kum(上炎刑金). Symptoms are tachypnea, chest and back pain, cough and sputum. In treatment, supply Sinki(腎氣). 4. In correlation of Pehuh, Peson and Pero, Pehuh is progressed from Kihuh(氣虛), Peson is progressed from Pehuh and Pero is progressed from Peson. 5. The treatment of Lung disease showed by chapter Huhro(虛勞). In early stage, control it's Ki. In middle stage, supply it's Ki. The last stage, supply Sinki(腎氣).

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The Phenomenological Study of the Parental Experience of the Fathers for their Children with Brain Lesions (중증뇌병변장애인 자녀를 둔 아버지의 양육경험에 대한 현상학적 연구)

  • Kang, Sun Kyung;Choi, Yoon
    • Korean Journal of Social Welfare
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    • v.69 no.1
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    • pp.199-222
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    • 2017
  • This study examined the parental experiences of the fathers who reared their children with brain lesions. Since a brain lesion is considered a lifelong disability, children with brain lesions need the medical and social management through their entire life. Due to the lack of specialized caring services and organizations in Korea for such children, their families are forced to take care of them. For this reason, it is necessary to study about the fathers who are rearing the children with brain lesions. For this purpose, four fathers had participated in this study and data were collected through one to one in-depth interviews. Using Giorgi(2004)'s phenomenological research method, the study results were as follows. The substantial themes were "charred heart", "surviving the hardships", "the ruins of life", "attitude against reality", "the unique composition of family life", "children as fate", "father's love." Based on the these analysis results, the implications were suggested to cure the psychological and institutional difficulties and to provide supportive services for the fathers and families who care the children with brain lesions.

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A Case of Lung Cancer Obscured by Endobronchial Aspergilloma (기관지내 아스페르길루스종으로 오인된 폐암 1예)

  • Ham, Hyun Seok;Lee, Seung Jun;Cho, Yu Ji;Jeong, Yi Yeong;Jeon, Kyoung Nyeo;Kim, Ho Cheol;Lee, Jong Deok;Hwang, Young Sil
    • Tuberculosis and Respiratory Diseases
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    • v.61 no.2
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    • pp.157-161
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    • 2006
  • A 70-year-old man was referred to the department of pulmonology due to blood tinged sputum and an abnormal chest X-ray. The chest X-ray and CT scans revealed a lobulated contour mass-like lesion in the left upper lung field. The bronchoscopic examination showed a whitish and polypoid mass occluding the left upper lobe bronchus. A biopsy specimen from the lesion revealed many aspergillus hyphae. Intravenous and oral itraconozole were administered over a 4 weeks period. Several months later, the size of the mass on chest X-ray increased and a percutaneous lung biopsy revealed a sarcomatoid carcinoma. We reported a case of lung cancer that was obscured by an endobronchial aspergilloma with a review of the relevant literature.