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경미한 외상을 받은 소아.청소년 환자의 지연 진단에 대한 고찰 (Analysis of Delayed Diagnosis of Pediatric and Adolescent Patients Injured by Minor Trauma)

  • 최지안;박원빈;김진주;조진성;김재광;임용수;현성열;정호성;양혁준;이근
    • Journal of Trauma and Injury
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    • 제22권2호
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    • pp.212-217
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    • 2009

  • Purpose: To analyze delayed diagnosis, we collected date on pediatric and adolescent patients who had been admitted to the Emergency Department with injuries due to minor trauma Methods: We retrospectively analyzed the age distribution, trauma mechanism, time interval for each affected body region at delayed diagnosis, hospital stay, and outcome for 161 pediatric and adolescent patients who had been admitted to the Emergent Department of Gachon University Gil Hospital from January 2006 to September 2008. Results: The incidence of delayed diagnosis in pediatric and adolescent trauma was 11.8% in our retrospective review of 161 pediatric and adolescent patients. Lengths of hospitalization were longer in patients with delayed diagnosis (p<0.05). Patients with delayed diagnosis were more often transferred to other hospitals than patients with non-delayed diagnosis (p<0.05). The time intervals for each different affected body regions at delayed diagnosis were significantly different, but the hospital stays were not. There were no statistical significance to age on affected body region. Conclusion: From this study, we found that admission result and hospital stay were statistically significant differences between the delayed-diagnosis patient group and the non-delayed-diagnosis patient group. Finally, we must follow up pediatric and adolescent patients with minor trauma, closely considering missed injuries.

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주가관지 폐쇄에 의한 일측정 방사선 과투과성을 보이는 1예 (A Case of Unilateral Hyperlucent Lung by Main Bronchus Obstruction)

  • 조용범;박경수;전정배;류정선;문태훈;조재화;곽승민;이홍렬;조철호
    • Tuberculosis and Respiratory Diseases
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    • 제48권2호
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    • pp.268-273
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    • 2000

  • A 32-year-old woman complaining of cough, sputum, and chest discomfort for the past ten days was admitted to the hospital. The radiologic findings were transradiant left lung with reduced number and size of vessels, mediastinal shifting to the right at expiration, matched ventilation-perfusion defect on ventilation-perfusion scan, and diffuse hypoplasia of the left pulmonary artery and i1s branches on the pulmonary angiography. We describe a case of unilateral hyperlucent lung by main bronchus obstruction in a patient who presents a clinical picture suggestive of the Swyer-James syndrome.

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대동맥장루 -1예 보고- (Aortoenteric Fistula -one case report-)

  • 김혁;정태열;반동규;정원상;김영학;강정호;지행옥;이철범;권오정;김경수
    • Journal of Chest Surgery
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    • 제34권2호
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    • pp.176-179
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    • 2001

  • 이차성 대동맥장루는 아주 드물며 대동맥-장골동맥의 재건수술의 중대한 합병증으로 발생할 수 있다. 이 질환은 진성 대동맥장루와 paraprosthetic enteric fistula 로 분류할 수 있다. 이러한 합병증의 예방, 진단 및 치료는 추구해야할 문제로 되어 있다. 염증성 가성동맥류로 복부대동맥 및 장골동맥을 인조혈관으로 치환한 후 41개월에 내시경으로 Paraprosthetic enteric Fistula로 진단되어 수술을 시행한 39세 남자환자를 치험하였기에 보고한다.

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