• Title/Summary/Keyword: Bronchi

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Sealing of leakage on the raw surface of pulmonary resection with histoacryl in cats (고양이의 절제된 폐단면에 histoacryl 의 폐쇄효과에 대한 실험적 연구)

  • Lee, Du-Yeon;O, Jung-Hwan;Bang, Jeong-Hyeon
    • Journal of Chest Surgery
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    • v.23 no.2
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    • pp.231-235
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    • 1990
  • Segmental resection or wedge resection of the lung and direct cutting across of bronchi frequently results in postoperative airleaks or bronchopleural fistula in some cases. Many methods have been devised to handle air leak problems by oversuturing the raw edges, the application of pleural onlay flaps, the use of cautery or tissue adhesives, but these still has not solved the problem of air leaking from raw surfaces of the lung with only partial successful we have tried the use of histoacryl to closure the raw surface of the resected lung and compared it’s results with of the closure with chromic catgut sutures in cats from May 1989 to Jan. 1990 at the department of the thoracic and cardiovascular surgery, Yonsei University, College of Medicine. Ninety lobe of the lungs were used in this study and forty nine of which have been divided segmentally and closed with histoacryl on the raw surfaces. Forty one of which have been divided segmentally and closed with sutures using chromic catgut for control. There were air leakages in twelve cases among 49 cases with applying histoacryl and airleak were in two cases among 12 cases with reapply histoacryl, But there were air leak in two cases among 41 cases with sutures using chromic catgut and airleak were in one case among with resutures using chromic catgut.

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Surgical Treatment of Primary Pulmonary Leiomyosarcoma; Two Cases Report (원발성 폐평활근육종의 외과적 치료;2례 보고)

  • 이문금
    • Journal of Chest Surgery
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    • v.26 no.8
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    • pp.654-660
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    • 1993
  • The incidence of pulmonary leiomyosarcoma is very rare as a primary lung tumor. Usually, pulmonary leiomyosarcoma arise from the smooth muscle present in the bronchi or blood vessles. We had experienced two cases of primary pulmonary leiomyosarcoma. The first case was 28-year old male patient who had been in good health until admission, when he experienced an episode of dyspnea and sudden hemoptysis. The chest X-ray film revealed a large round tumor mass in left lower lobe measuring 6.5x9.5x5.3cm in dimension. On physical examination,the patient was friction rub and rales on the left lower chest and postoperative course was smooth and non-eventful. Emergency left lower lobectomy was performed due to repeated hemoptysis. Chemotheraphy was done postoperatively as an adjuvant therapy.The second case was 52-year-old man who had been well prior to admission, when recently he noticed a abrupt growing tendency of old pulmonary coin lesion in right lower lobe on routine physical examination. Since 1968, small round mass was gradually enlarged very slowly, during recent one year interval, the tumor mass was enlarged abruptly as twice in size on chest X-ray. Bronchoscopic examination revealed no specipic findings. Right lower lobectomy was performed and pathologic examination was answered as primary leiomyosarcoma without lymph node metastasis. Postoperative course was smooth, except local wound infection.

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Investigation into the mechanism of anti-asthmatic action of Lepidium sativum

  • Goyal, BR;Goyal, RK;Mehta, Anita A
    • Advances in Traditional Medicine
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    • v.8 no.3
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    • pp.286-294
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    • 2008
  • We have studied the possible mechanism of anti-asthmatic action of ethanolic extracts of dried seeds of Lepidium sativum (EXLS, 400 mg/kg) using various experimental models. EXLS produced an increase in the Pre-Convulsion Dyspnoea time induced by histamine and acetylcholine aerosol, a significant reduction in the elevated leucocyte counts in the Broncho-Alveolar Lavage fluid of sensitized guinea-pigs and reduction in the paw edema volume as compared to the control rats. Treatment with EXLS also produced decrease in the elevated histamine release from the sensitized guinea-pig lungs. The anti-asthmatic anti-inflammatory responses of EXLS was supported by improvement in microscopic changes like infiltration of inflammatory cells, submucosal edema, epithelial desquamation and reduced lumen size of the bronchi. The $pD_2$ values of histamine in tracheal chain and taenia-coli were significantly greater and that in lung strip was lower in the sensitized animals as compared to control. Treatment of sensitized guinea pigs with EXLS significantly decreased $pD_2$ values of histamine in all three preparations. Our data suggest the prevention of hyper-responsiveness in bronchial smooth muscles and inhibition of the immediate hypersensitive reaction, histamine release in the lungs and the infiltration of various inflammatory cells as the possible mechanisms of anti-asthmatic activity of EXLS.

Right Lower Sleeve Bilobectomy for Lung Cancer with Posteparterial Tracheal Bronchus

  • Kim, Hongsun;Kim, Jinsik;Cho, Jong Ho;Shin, Su Min;Kim, Hong Kwan;Kim, Jhingook
    • Journal of Chest Surgery
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    • v.50 no.4
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    • pp.300-304
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    • 2017
  • A 42-year-old man was diagnosed with cancer of the right lower lung lobe with a posteparterial type of tracheal bronchus, in which the posterior segmental bronchus of the right upper lobe arose from the distal bronchus intermedius. A mass involved the distal bronchus intermedius, requiring a right lower bilobectomy with an additional posterior segmental resection of the right upper lung lobe. Thus, we performed a right lower bilobectomy and sleeve anastomosis of the posterior segmental bronchus of the right upper lobe to the proximal bronchus intermedius, sparing the pulmonary parenchyma of the same lobe.

Determination of Size Distribution of Atmospheric Paticulates in Urban Air Using Andersen Sampler (Andersen 시료채취기를 이용한 도시대기중 부유입자상 물질의 입도분포 측정)

  • 이용근;김만구;원정호
    • Journal of Korean Society for Atmospheric Environment
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    • v.1 no.1
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    • pp.93-98
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    • 1985
  • Mass size distribution of atmospheric particulates were measured using an Andersen using an Andersen sampler in urban air. The atmospheric particulates were fractionated in eight stages of an Andersen sampler operating at 28.4$\ell/min$ and collected on polyester sheets. A quartz filter was placed behind the last stage collect permeated partculates. The size distribution of atmospheric particulates were divided around 1-2 $\mu$m into two groups, coarse and fine particulates regardless of sampling times. The variation of course particulates concentration was higher than fine particulates among sampling times. Different meterorological conditions and natural phenomena brought high variation of course particulates' concentration. The rain caused removal of coarse particulates seriously and the yellow and may take part in a increase of the course particulates in spring. The average concentration of atmospheric particulates to be collected by Andersen sampler was 170.8 $\mug/m^3$ during 3 times of sampling. Among them the average concentration of atmospheric particulates which could penetrated under a bronchi and alveoli were 70.4$\mug/m^3$ and 36.6$\mug/m^3$ respectively.

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A Case of Bronchial Foreign Body Reconstructed with Virtual Bronchoscopy (가상 기관지경으로 재구성한 기관지 내 이물 1예)

  • Yoo, Young Sam;Kim, Sang Woo;Woo, Kuk Sung;Kim, Dong Won;Choi, Sang Bong
    • Korean Journal of Bronchoesophagology
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    • v.17 no.2
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    • pp.116-119
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    • 2011
  • Computed tomography with virtual bronchoscopy shows inner shape of trachea and major bronchi with three-dimensional images. Virtual bronchoscopy can be used in cases of suspected foreign body aspiration. Virtual bronchoscopy shows the exact location of the obstructive lesion before conventional bronchoscopy. If the chest radiography is normal or suggests aspirated foreign body, virtual bronchoscopy can be considered before conventional bronchoscopy. We experienced a case of false-tooth foreign body extracted under bronchoscopy. In this case, virtual bronchoscopy was made retrospectively giving useful information about shape and orientation regarding foreign body.

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A Case of Capillary Hemangioma of Lingular Segmental Bronchus in Adult

  • Cho, Nam Jun;Baek, Ae Rin;Kim, Junghyun;Park, Jong-Sook;Jang, An-Soo;Park, Jai Soung;Koh, Eun Suk;Park, Choon-Sik
    • Tuberculosis and Respiratory Diseases
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    • v.75 no.1
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    • pp.36-39
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    • 2013
  • Capillary hemangioma of the tracheobronchial tree is an extremely rare benign tumor in adults, especially those located in the bronchus. Characteristics and treatment of capillary hemangiomas of adult tracheobronchial trees have not been well known. We present a 61-year-old man with hemoptysis, which was caused by a small tiny nodule in the left lingular segmental bronchus. The nodule was removed by a forcep biopsy, via flexible bronchoscopy, and it was revealed to be capillary hemangioma. A small isolated endobronchial capillary hemangioma can be treated with excisional forcep biopsy, but a risk of massive bleeding should not be overlooked.

The PIV Measurements on the Respiratory Gas Flow in the Human Airway (호흡기 내 주기적 공기유동에 대한 PIV 계측)

  • Kim, Sung-Kyun
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.30 no.11 s.254
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    • pp.1051-1056
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    • 2006
  • The mean and RMS velocity field of the respiratory gas flow in the human airway was studied experimentally by particle image velocimetry (PIV). Some researchers investigated the airflow for the mouth breathing case both experimentally and numerically. But it is very rare to investigate the airflow of nose breathing in a whole airway due to its geometric complexity. We established the procedure to create a transparent rectangular box containing a model of the human airway for PIV measurement by combination of the RP and the curing of clear silicone. We extend this to make a whole airway including nasal cavities, larynx, trachea, and 2 generations of bronchi. The CBC algorithm with window offset (64 $\times$ 64 to 32 $\times$ 32) is used for vector searching in PIV analysis. The phase averaged mean and RMS velocity distributions in Sagittal and coronal planes are obtained for 7 phases in a respiratory period. Some physiologic conjectures are obtained. The main stream went through the backside of larynx and trachea in inspiration and the frontal side in expiration. There exist vortical motions in inspiration, but no prominent one in expiration.

랫드의 간질성 폐염

  • Hyeon, Gang-Bu
    • Proceedings of the Korean Society of Veterinary Pathology Conference
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    • 2002.11a
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    • pp.12-20
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    • 2002
  • 1. 질병명 : Interstitial pneumonia 2. 본질명의 개요 역사 및 역학 Michael R Elwell, Joel F Mahler, G N Rao: “ Have You Seen This\ulcorner" ; Inflammatory Lesions in the Lungs of Rats. Toxicologic Pathology, 25: 529-531, 1997. Male and female F344 rats, approximately 19 weeks old, from prechronic toxicity studies performed for NTP/NIEHS over a period of several years at different laboraories located throughout the US. The rats were supplied by 2 different production colonies located in the eastern and western areas of the US. Gross findings ㆍ In some rats the lesions were noted as pale or tan foci in the lungs Microscopic findings ㆍ A prominent increase in perivascular lymphocytes ㆍ A variable increase in the amount of peribronchiolar lymphoid tissues ㆍ Frequently an inflammatory cell exudate within the alveolar spaces ㆍ Focal hyperplasia of alveolar type 2 cells Similar lung lesions were not observed in B6C3F1 mice concurrently on study with affected rats. Similar lung lesions were not observed in F344 rats at the end of 2-year NTP studies. Virus, mycoplasma, bacterial serology, bacterial culture, protozoal identification: negative EM: ㆍ No virus particles were identified. ㆍ Rod shaped bacteria were observed in the alveolar spaces. ㆍ Bacteria were not observed in the bronchi/ bronchioles of rats with alveolar organism. (omitted)

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Histopathological diagnosis of avian tuberculosis and aspergillosis in a Snow goose (병리소견과 조직염색을 통한 흰기러기의 조류결핵과 Aspergillosis의 진단)

  • Yhee, Ji-Young;Kim, Kyoo-Tae;Yu, Chi-Ho;Kim, Jong-Hyuk;Cho, Sung-Whan;Lyoo, Young-Soo;Kim, Tae-Jong;Sur, Jung-Hyang
    • Korean Journal of Veterinary Research
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    • v.47 no.4
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    • pp.443-447
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    • 2007
  • A 7-year-old, female snow goose (Anser caerulescens hyperboreus) with history of decreased activity for 2 month died in Daejeon Zoo Land in September 2006. At necropsy, granulomatous pneumonia and hepatomegaly with multiple cysts were observed. Small masses were found in the spleen. Microscopically, fibrinous pneumonia distributed in most of the lung lobe with pulmonary edema and congestion. Especially, granulomatous inflammation with numerous multinucleated giant cells was observed around the dilated bronchi. To confirm the diagnosis, acid-fast (Ziehl-Neelsen method) and periodic acid-Schiff (PAS) staining was performed. Acid-fast staining showed red bacterial colony indicating tuberculosis. PAS staining was also positive enough to diagnose aspergillus spp. co-infection that was an opportunistic fungi occurring in immuno-compromised animals. Based on the above results, we confirmed that the case submitted was diagnosed as avian tuberculosis.