• Title/Summary/Keyword: 혈관 확장

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Bronchiectasis and related problems ! (기관지확장증의 임상적 고찰)

  • Na, Beom-Hwan;Lee, Hong-Gyun
    • Journal of Chest Surgery
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    • v.17 no.2
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    • pp.286-291
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    • 1984
  • To assess the correct role of operation in the management of bronchiectasis, two hundred and fifteen patients with bronchiectasis seen at the Thoracic & Cardiovascular Surgery Dept. of Catholic Medical College in Korea between 1972 & 1981 were reviewed and studied the combined disease [Pulmonary tuberculosis, paranasal sinusitis and general nutrition]. The result were as follows: 1.The incidence ratio of male to female was 1.8:1 & the age of second decade occupied 4596 of the total. 2.Bronchiectasis may occur in any lobe, however the vast majority of the cases are occur in dependent portion of the lung - basilar segment of the lower lobes, middle lobe, and lingular segment. Isolated upper lobe bronchiectasis is commonly associated with tuberculosis. 3.The bronchiectasis combined with the paranasal sinusitis was 25 patients [11.6%] in our cases and these occurred usually in both lower lung fields. 4.The average body weight of bronchiectasis patients were about 10 kilogram less than compairing to predicted normal body weight of Korean healthy person.

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Surgical Observation of Bronchiectasis (기관지확장증의 외과적 치료)

  • Lee, Dong-Jun;Chung, Chan-Yong
    • Journal of Chest Surgery
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    • v.11 no.3
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    • pp.260-264
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    • 1978
  • Sixty-one bronchiectatic patients were reviewed who were treated by surgical intervention in the Department of Thoracic and Cardiovascular Surgery, Chonnam University Hospital during the recent 14 years from January of 1965 to August of 1978. 1. Various pulmonary resection was performed; lobectomy was 55.5%, lobectomy and segmental resection 20.6%, bilobectomy 13.1%, lobectomy, segmental resection and thoracoplasty 4.9% and pneumonectomy was 3. 2%. 2. The most common associated disease was pulmonary Tbc, its frequency was 47.5% and next was chronic bronchitis [31%]. 3. The postoperative complication was observed in 19.6% [12 cases] and the most common was wound infection. 4. The possibility of recurrence was relatively high in the cases of residual lesion and it needs more intensive medical care. 5. The surgical result was satisfactory in 86.9% (53 cases), slight improvement in 4.9% (3 cases) and the mortality rate was 1.6% (1 case).

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Biological studies on Salicylic Acid derivative of Minoxidil

  • Kim, kyoung sun;joon su Shin;kyoung whan Kang;Kim, bak kwang
    • Proceedings of the Korean Society of Applied Pharmacology
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    • 1996.04a
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    • pp.270-270
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    • 1996
  • 미녹시딜은 말초혈관확장제로서 중증의 고혈압치료에 사용하여 왔으나, 이 약물이 투여된 고혈압환자에게서 다모증 현상이 나타난 이후 탈모증의 치료제로서 연구개발되었다. 그러나 미녹시딜은 투약중지와 더불어 모발의 성장이 중지되며 치료전의 상태로 환원되는 기간이 짧은 단점이 있으므로 이를 개선하기 위해 미녹시딜의 4-NH$_2$ 위치에 의약품의 각막박리에 쓰여지고 있는 살리실산을 도입하여 두피 모근 세포로의 약물의 침투성을 높여, 보다 지속적인 새로운 발모제를 개발하고자 하였다.

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Mucosal Resection in the Corrosive Esophageal Stricture -A new technique- (부식성 식도 협착에서 식도 점막 절제술)

  • 김공수;구자홍;박상철
    • Journal of Chest Surgery
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    • v.34 no.2
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    • pp.194-197
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    • 2001
  • 부식성 물질에 의한 양성 식도 협착 환자에서 식도 확장술이 일반적으로 사용되는 술식이나 협착부위가 잔존하여 연하곤란이 발생하므로 식도 재건술이 이용된다. 식도재건술은 대용 식도로 위관, 대장관, 소장관이 이용하여 광범위한 박리, 여러 부위의 절개, 문합부 대용 식도 위치에 따른 문제점 및 협착된 식도를 잔존시킴으로 식도암 발생가능성이 있으며 식도 재건술후 식도 기능의 문제점이 많다. 이에 시고 기능에 이상을 초래하지 않으면서 합병증이 적고 수술하기 쉬운 방법이 요구된다. 저자는 식도 근층만을 절개하고 점막하층을 박리한 후 협착부 점막만 절제하고 점막 단단 문합함으로 좋은 결과를 얻었기에 증례와 더불어 수술 방법을 소개하고자 한다.

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Surgical Treatment of Bronchiectasis (기관지확장증의 외과적 요법)

  • 이영욱
    • Journal of Chest Surgery
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    • v.15 no.1
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    • pp.15-20
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    • 1982
  • During the past ten years from 1972 to 1981, a total of 100 cases of bronchiectasis were treated by pulmonary resection at C.A.F.G.H. Pulmonary tuberculosis and frequent U.R.I. were the most frequent associated disease and encountered in 54% in this series. Various types of pulmonary resection were performed on 100 patients; left lower lobectomy in 40 cases, left lower lobectomy and lingular segmentectomy In 29 cases, right lower lobectomy in 12 cases, right middle and lower lobectomy in 12 cases, lingular segmentectomy in 3 cases, left pneumonectomy in 3 cases and both lower lobectomy in 1 case. Complications developed in 9 cases and 1 case among them died of sepsis following secondary opera-tion. Among complications of 9 cases, postoperative atelectasis showed in 4 cases, hemorrhage in 2 cases, bronchopleural fistula in 2 cases, pulmonary edema in 1 case. Complications were treated by conservative and secondary operative management with satisfactory result except one death. Remainders without complication showed good result without symptom in postoperative and follow-up periods.

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Multilevel Dumbbell Tumor of the Posterior Mediastinum -1 Case Report- (다범위 종격동 Dumbbell종양 - 1례 보고 -)

  • 허동명;김병호;조재훈;강동기
    • Journal of Chest Surgery
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    • v.32 no.8
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    • pp.768-771
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    • 1999
  • A 45 year old man was admitted for further examination of an abnormal shadow of the right posterior mediastinum. The patient suffered from dysesthesia in the right thoracic wall of dermatome T7. CT scan and MRI revealed that two separate tumors had developed in the right paravertebral area linked to the vertebral canal via an intervertebral foramina. One-stage removal of the tumors were performed safely through the right posterolateral thoracotomy following the resection of the rib head and vertebral pedicle. The tumors were confirmed as histologically neurilemomas. The postoperative course was uneventful.

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A Case of Angiodysplasia in the colon with IDA ; Review of east and west literature (철결핍성 빈혈(IDA)을 동반한 위장관 혈관확장증(Intestinal angiodysplasia) 1례)

  • Jeong Hwan-Su;Lee Jin-Yong;Kim Deok-Gon
    • The Journal of Pediatrics of Korean Medicine
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    • v.14 no.1
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    • pp.183-188
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    • 2000
  • Angiodysplasia is uncommon and frequently undiagnosed and presents a taxing surgical problem. It is usually diagnosed for unexplained gastrointestinal bleeding. Angiography gives a little information about wax and wane pattern of bleeding in the lesion. We experienced I case of angiodysplasia in G-I tract(especially colon) diagnosed in the Seoul National University Hospital. This report summarized our experience and review of east and west literature.

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Surgical Treatment of Bronchiectasis (기관지 확장증의 수술요법)

  • 송요준
    • Journal of Chest Surgery
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    • v.4 no.2
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    • pp.101-106
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    • 1971
  • Forty-seven cases of bronchiectasis were admitted in this department, of which 38 cases were reviewed. Pulmonary tuberculosis was the most frequent associated disease and encountered in 42% in this series. Preoperative bronchogram performed in 38 cases revealed left lung involvement in 21 cases,right lung in 14 cases, both lungs in 3 cases, and multilobar involvement in 10 cases. Various types of pulmonary resection were performed on 32 patients. Complication developed in 3 cases [9.4%]. One patient died of intraoperative hypoxia on the second post-operative day. Second case was Complicated with hydrothorax, and third case was with hemothorax. In 81% of this series, the result was satisfactory and 3 cases [10%] showed slight improvement of symptoms, and 2 cases show no improvement. The mortality rate was 3 percent(1case).

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Research and Development of Acetaminophen Quick-dissolving Tablets (Acetaminophen 속용정의 제제개발 연구)

  • 신현종
    • Proceedings of the Korean Society of Applied Pharmacology
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    • 2000.04a
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    • pp.20-25
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    • 2000
  • 아세트아미노펜(파라세타몰)은 p-aminophenol 유도체로서 (그림 1) 두통, 치통, 신경통 등의 통증에 널리 사용되는 해열진통제인데 아스피린과 같은 정도의 해열 진통 효과를 나타내며, 이것은 중추신경계의 체온조절 중추에 작용하여 피부혈관을 확장함으로써 열의 확산을 증가시키는 해열작용과 시상 및 대뇌피질에의 통각역치를 높여 진통작용을 하는 것으로 추정 된다. 아세트아미노펜은 백색의 결정 또는 결성성 가루로 물에 조금 녹고 메탄올 또는 에탄올에 잘 녹으며 수산화나트륨 시액에 녹고 에텔에는 매우 녹기 어렵다 (표1). 대한약전에서는 정제가, 미국약전에는 캅셀제, 좌제, 경구현탁액제, 발포성 건조시럽, 정제 등이 수재되어 있고, 세계 각국에서 OTC 제품으로 1정당 160mg의 츄잉정까지 판매되고 있다. 그러나, 시판되고 있는 정제등은 붕해되어 용출되는데 오랜시간이 소요되어 대한약전에는 약 30분간에 80%이상의 용출기준이 설정되어 있으며, 독특한 쓴맛 때문에 microencapsulation 한 제피세립을 사용하고 있으나 역시 1 정당 300mg 이상의 확산정이나 속용정은 존재하지 않는다. 이것을 개선하기 위하여 붕해속도가 빠르고 특히 진통효과가 빠르며 물없이 구강내에서 간편히 녹여 복용하거나 또는 씹어서 또는 물과 함께 복용할 수 도 있는 $\ulcorner$알카펜$\lrcorner$ 속용정을 개발하게 되었다 (그림2).

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Acute Heart Failure after Relief of Massive Pericardial Effusion (대량의 심낭삼출액 제거 후 발생한 급성 심부전)

  • Jung Tae-Eun;Lee Dong-Hyup
    • Journal of Chest Surgery
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    • v.39 no.9 s.266
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    • pp.702-705
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    • 2006
  • Severe left ventricular dysfunction after relief of massive pericardial effusion has been rarely reported. Interventricular volume mismatch, acute distention of the cardiac chambers and interplay of autonomic none system are believed to be the possible causes for ventricular dysfunction. Presenting two patients who had marked decrease in global ventricular systolic function after relief of pericardial tamponade by subxyphoid pericardial window, we recommend gradual removal of pericardial fluid under hemodynamic monitoring, especially in patient with postcardiotomy tamponade.