• 제목/요약/키워드: Chest G

검색결과 363건 처리시간 0.028초

원격전이된 미분화성 심장육종의 수술치험 (Surgical Intervention of Undifferentiated Cardiac Sarcoma with Metastases)

  • 신재승;김학제;최영호;김현구;백만종
    • Journal of Chest Surgery
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    • 제33권5호
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    • pp.432-435
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    • 2000
  • We report a case of primary undifferentiated cardiac sarcoma. The tumor originated from the left atrial free wall with multi-organ metastases, e.g., lung, and adrenal gland. The patient gradually grew worse with dyspnea and hemoptysis because of the obstructed left atrial outflow. Surgical resection of the left atrial sarcoma was undertaken to save the patient's life, followed by chemotherapy and brain irradiation as adjuvant therapy. The prognosis of cardiac sarcoma with metastases is very poor. However, in patients with hemodynamic instability, surgical intervention could be a therapeutic modality as palliation.

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횡경막 내번증 (Diaphragmatic eventration -A report of 3 cases-)

  • 이영욱
    • Journal of Chest Surgery
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    • 제15권3호
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    • pp.290-294
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    • 1982
  • Diaphragmatic eventration is a rare disease, congenital or acquired, high or elevated position of one leaf of the diaphragm muscle, as a result of paralysis, aplasia or atrophy of varying degree of the muscle fibers of the affected side but with no break in the continuity of the muscle. We experienced 3 cases of the diaphragmetic eventration at the department of thoracic surgery, C.A.F.G.H., from 1980 to 1982, which were treated successfully. Among three cases, one case combinded with hamartoma of the ipsilateral lung. Specific complications were not noticed after surgical repair of diaphramatic eventration with good result.

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메디안 필터를 이용한 영상의 경계 검출 (Edge Detetetion of the Image using Median Filter)

  • 이상훈;김승환;김경식;강준길
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 1987년도 전기.전자공학 학술대회 논문집(II)
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    • pp.1409-1412
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    • 1987
  • Median filter techniques were applied to the chest radiographs for the digital image processing. Histogram distributions were transformed to convert the gray level for detections of the small gray deviations of the image boundaries.

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Total Occlusion of the Left Main Coronary Artery

  • Pezzella, Thomas;Giambatrolomi, Alessandro;Esente, Paolo;Gensini, Goffredo G.
    • Journal of Chest Surgery
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    • 제20권2호
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    • pp.342-347
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    • 1987
  • Complete occlusion of the main LCA is associated with a poor prognosis if the RCA becomes severely occluded. The functional role of collateral circulation is critical in this situation. This study lends support to the hypothesis that coronary collateral circulation can provide critically needed myocardial blood flow via right to left collaterals. Not surprisingly, left ventricular function was maintained in 4 of the 5 patients studied who had main LCA occlusion and well-developed collateral circulation.

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기관지성 낭종 3례 보고 (Bronchogenic Cyst: A Report of 3 Cases)

  • 곽상룡
    • Journal of Chest Surgery
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    • 제11권4호
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    • pp.476-480
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    • 1978
  • Bronchogenic cysts are congenital and uncommon lesions which are derived from primitive forgut and usually found within the lung or mediastinum. The increased use of roentgenograms of the thorax and the widening scope of thoracic surgery, many more cases of bronchogenic cysts are being observed. Three cases of bronchogenic cysts operated in the department of thoracic surgery, C.A.F.G.H., are reported and the related literatures are reviewed.

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흉부 X선 영상에서 폐 종류 음영 검출 (Detection of Pulmonary Nodules' Shadow on Chest X-ray Image)

  • 김응규
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2007년도 제38회 하계학술대회
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    • pp.327-328
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    • 2007
  • 에너지 흉부 단순 X선 영상으로부터 폐 종류 음영을 검출하기 위한 필터를 예측해서 성능좋게 평가하기 위한 방법을 제안한다. 더욱이 그 평가방법을 이용해서 기존에 제안된 다중 해상도 ${\nabla}^{2}G$ 필터의 평가를 행한다. 전문의의 진단보조 혹은 총합자동진단시스템의 구성요소로서 필터가 수행한 역할을 고려한 후, 필터가 만족해야만 하는 조건 및 그 조건을 만족한 경우에 있어서 몇가지 성능평가 척도를 명확히 한다. 제안한 평가방법을 통해서 다중해상도 필터가 단일해상도 필터에 비해 좋은 성능을 나타내고 있음을 명확히 한다.

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개심술후 발생한 심근손상에서 진단 표지자로서의 Troponin T의 임상적 유용성 (Availability of Cardiac Troponin T as a Marker for Detecting Perioperative Myocardial Damage in Patients with Open Heart Surgery)

  • 김태이;정태은;이동협;이정철;한승세
    • Journal of Chest Surgery
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    • 제31권1호
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    • pp.20-27
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    • 1998
  • Troponin T(이하 TnT)는 주로 심근세포에 존재하며 심근손상 시에만 유리되는 심근특이 효소이다. 저자들은 개심술을 시행한 34명의 환자들을 대상으로 수술 전후 심근손상에 대한 지표로서 TnT의 유용성에 대해 조사하였다. 환자들은 허혈성 심질환에 의한 관동맥 우회술이 11례, 후천성 판막 질환이 13례, 그리고 선천성 심질환이 10례였다. 이들은 술후 흉통과 심전도의 ST분절과 T파의 변화 등에 의거하여 심근손상이 의심되는 환자들(A군, 11례)과 정상 소견을 가진 환자들(B군, 23례)로 구분하였다. TnT의 측정은 효소 면역법을 이용하여 술 전, 수술 직후와 술후 1, 2, 3, 7일에 각각 측정하여 수술 전후의 수치 변화를 각 군간에 서로 비교하였고, 같은 시기에 측정한 CK-MB의 변화와 비교 분석하였다. A군에서는 수술 직후와 술후 1, 2, 3, 7일에 각각 1.37$\pm$0.26 $\mu$g/L, 3.16$\pm$0.66 $\mu$g/L, 2.39$\pm$0.74 $\mu$g/L, 2.49$\pm$0.76 $\mu$g/L, 그리고 1.23$\pm$0.60 $\mu$g/L로 변화하였으며, B군에서는 0.38$\pm$0.04 $\mu$g/L, 0.34$\pm$0.05 $\mu$g/L, 0.25$\pm$0.03 $\mu$g/L, 0.24$\pm$0.04 $\mu$g/L, 그리고 0.11$\pm$0.03 $\mu$g/L로 두 군간에 전기간에 걸쳐서 유의한 차이를 가졌다(P<0.01). 이에 반하여 CK-MB는 술후 1일째만 A군과 B군간에 145.04$\pm$35.08 IU/L과 31.28$\pm$5.87 IU/L로 유의한 차이가 있었고(P<0.05), 2일째부터 급격히 감소하여 3일 이후에는 술전치로 환원하였다. 혈청 TnT치가 1.0 $\mu$g/L이상인 경우를 술후 심근손상의 기준으로 볼 때 TnT는 심근손상의 진단에 있어서 100%의 민감도와 87%의 특이도를 보였다(P<0.01). 따라서 TnT는 심근손상 환자에 있어서 CK-MB와 달리 수술 직후부터 증가하여 지속됨으로써 심근손상의 정도를 더욱 민감하게 반영하고, 장기간 유의한 차이를 보여줌으로써 술후의 심근손상을 진단하는데 있어서 기존의 방법들보다 더욱 유용한 것으로 사료된다.

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심실중격결손, 심방중격결손, 폐동맥협착과 우심증을 동반한 완전대혈관전위증의 치험 (A successful Mustard operation for complete transposition of the great arteries combined with VSD, ASD, dextrocardia and PS: a report of one case)

  • 조중구
    • Journal of Chest Surgery
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    • 제15권3호
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    • pp.346-354
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    • 1982
  • A Complete transposition of the great arteries combined with V.S.D, A.S.D, dextrocardia, and P.S is a rare congenital anomaly. The patient was a 10 year-old female whose complaints were frequent URI, exertional dyspnea, and cyanosis at rest since birth. Cheat X-ray films showed Dextrocardia ; situs inversus, moderate cardiomegaly, and Characteristic egg-shape heart shadow. E.K.G, Echocardiography, Cardiac Catheterization, and Angio-Cardiography were performed. Open heart Surgery was done under diagnosis of d-TGA, Dextrocardia, V.S.D, A.S.D, and P.S. At the time of Operation, Dextroeardia, T.G.A, Secndum type A.S.D, A.S.D, and P.S. At the time of Operation, Dextroeardia, T.G.A, Secndum type A.S.D. ($2.0{\times}2.0cm$. in diameter), V.S.D. type II ($1.5cm{\times}1.5cm$ in diameter), and pulmonary valvular stenosis were noted. Mustard operation using pericardial Baffle in the atrium for T.G.A. was perforsned. Teflon patch graft for closure of V.S.D. through tricuspid orifice and pulmonary Valvulotomy through pulmonary arteriotomy were performed. The post-op, low cardiac output Syndrome and dysrhythmicawere developed till Postoperative day #7, so that was controlled by inotropic and antiarrhythmic agents. After that, patient's conditions were Uneventful.

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성악다들의 목소리에 대한 Long Term Average Spectrum 분석 -$2^{nd}$ Singer's Formant의 존재 가능성에 대하여- (Long Term Average Spectrum Characteristics of Head and Chest Register Sounds of Western Operatic Singers : Extended Study)

  • 반재호;권영경;진성민
    • 대한후두음성언어의학회지
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    • 제15권1호
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    • pp.31-36
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    • 2004
  • Background and Objectives : It has been shown that the epilaryngeal tube in the human airway is responsible for vocal ring, or the singer's formant. In previous study, authors showed that in trained tenors, besides the conventional singer's formant in the region of ,5500Hz, another energy peak was observed in the region of 8,000Hz. This peak was interpreted as the second resonance of the epilarynx tube. Singers in other voice categories who produce vocal ring are assumed to have the same peak, but no measurements have as yet been made. Materials and Methods : Fifteen tenors, fourteen baritones, seven sopranos and five mezzo sopranos attending the music college, department of vocal music who could reliably produce the head and chest registers were chosen for this study. Each subject was asked to produce an/ah/sound for at least three seconds for the head register sound(tenors ; G4, barions ; E4 sopranos ; F5 and mezzosopranos ; C5) and for the chest register sound (tenors ; C3, baritones ; D3, sopranos ; D4 and Mezzosoprano ; A3). The sound data was analyzed using the Fast Fourier Transform (FFT)-based power spectrum, Long term average(LTA) power spectrum using the FFT algorithm of the Computerized Speech Lab (CSL, Kay elemetrics, Model 4300B, USA). Statistical analysis was performed using the Mann-Whitney test of the Statistical Package for Social sciences(SPSS). Results : For head register sounds, a significant increase was seen in the 2,200-3,400Hz region(p<0.05) and the Similar to the head register sounds, there was a significant increase in energy in the four trained singer group compared with the untrained group in the 2,200-3,100Hz region(p<0.05), the 7,800-8,400Hz region(p<0.05) for the chest register sounds. Conclusions : When good vocal production was made for the head and chest registers, an energy peak was observed near 2,500Hz, a frequency already known as the "singer's formant', in all subjects in the study group. Another region of increased energy was observed around 8,000Hz that had not been noticed previously. The authors believe this region to be the second singer's formant.

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