• 제목/요약/키워드: Morbidity and Mortality

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Internal shunt를 이용한 총경동맥협착 수술치험 -1례 보고- (Carotid Endarterectomy for Common Carotid Artery Stenosis Using Internal Shunt -A Report of Case-)

  • 조용길
    • Journal of Chest Surgery
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    • 제28권3호
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    • pp.324-327
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    • 1995
  • Extracranial carotid artery disease is rare and closely related to cardiovascular morbidity and mortality.We experienced one case of surgical treatment of left common carotid artery stenosis using internal shunt.The patient was 54-year-old female presented as headache and dizziness for about 2 years.On Doppler ultrasound, an atheromatous plaque was noted along the posteromedial wall of left common carotid artery resulting in luminal narrowing in about 75s of cross section area.The atheroma was resected through carotid endarterectomy, measured about 5.2cm in length. Postoperative course was uneventful and she was discharged in good condition.

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부식성 식도협착 환자의 비개흉적 식도 적출술 - 2례 보고 - (Esophagectomy without thoracotomy in corrosive esophageal stricture - case report -)

  • 서울의대
    • Journal of Chest Surgery
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    • 제23권2호
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    • pp.416-420
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    • 1990
  • The strictured esophagus is not removed usually in corrosive injury. But corrosion carcinoma and the late complications such as esophago-bronchial fistula, chronic mediastinal abscess, diverticulum can occur in case that strictured & inflamed esophagus be remained. Recently transhiatal esophagectomy is being done with low mortality and morbidity. So we are reporting 2 cases of esophageal stricture in young patients which were treated with transhiatal esophagectomy and esophagocologastrostomy. All of 2 cases were successfully treated and recovered. Postoperative esophageal function tests showed the mild reflux but it did not count clinically.

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Esophageal perforation in children: etiology and management, with special reference to endoscopic esophageal perforation

  • Govindarajan, Krishna Kumar
    • Clinical and Experimental Pediatrics
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    • 제61권6호
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    • pp.175-179
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    • 2018
  • Perforation of the esophagus is an uncommon problem with significant morbidity and mortality. In children undergoing endoscopy, the risk of perforation is higher when interventional endoscopy is performed. The clinical features depend upon the site of esophageal perforation. Opinions vary regarding the optimal treatment protocol, and the role of conservative management in this context is not well established. Esophageal perforation that occurs as a consequence of endoscopy in children requires careful evaluation and management, as outlined in this article.

호흡기내과 의사를 위한 폐렴 리뷰 (Respiratory Review of 2010: Pneumonia)

  • 김윤성
    • Tuberculosis and Respiratory Diseases
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    • 제68권6호
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    • pp.319-327
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    • 2010
  • Pneumonia represents a spectrum of diseases that range from community-acquired to health care-associated pneumonia. Despite advances in diagnosis, antimicrobial therapy, and supportive care, pneumonia remains an important cause of morbidity and mortality, particularly in elderly patients and in those with significant comorbidities. Community-acquired pneumonia (CAP) is the leading cause of death from infectious disease in Korea. This article provides a synopsis of recent studies regarding various types of pneumonia, with a focus on CAP.

식도 자연 천공 치험 1례 (Spontaneous Rupture of the Esophagus (Boerhaave's Syndrome) -A case report-)

  • 김창회
    • Journal of Chest Surgery
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    • 제23권3호
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    • pp.546-549
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    • 1990
  • Spontaneous esophageal perforation occurred rarely but often lead to a high mortality and morbidity. We had experienced one case of spontaneous rupture of esophagus. A 52 - year old male patient was admitted to our hospital because of the chest pain and massive hematemesis after emetic strain. Esophagogram that taken at private clinic revealed leakage of dye into the right pleural space. Under the diagnosis of the thoracic esophageal perforation, two stage operation was planned because the size of perforation was large and pyothorax was developed on the right side. At first, exclusion and diversion of the esophagus were carried out. After six months, the esophageal reconstruction with left colon was performed.

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Treatment of chronic bronchopleural fistula and recurrent empyema using a latissimus dorsi myocutaneous flap: a case report and literature review

  • Kang, Byungkwon;Myung, Yujin
    • Archives of Plastic Surgery
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    • 제48권5호
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    • pp.494-497
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    • 2021
  • Bronchopleural fistula is a severe complication with a high mortality rate that occurs after pulmonary resection. Several treatment options have been suggested; however, it is a challenge to treat this condition without recurrence or other complications. In this case report, we describe the successful performance of a pedicled latissimus dorsi myocutaneous flap transfer, with no recurrence or donor site morbidity.

A Heterogeneous Genetic Disorder: Primary Ciliary Dyskinesia

  • Ahn, Ji Young
    • Journal of Interdisciplinary Genomics
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    • 제4권1호
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    • pp.11-14
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    • 2022
  • Primary ciliary dyskinesia (PCD) is a genetic disorder that affects approximately 1 in 15,000-30,000 people, with the majority of patients inheriting the disorder via autosomal recessive inheritance. PCD is characterized by abnormal ciliary ultrastructure and/or function, which results in impaired mucociliary clearance and recurrent respiratory infections. Despite the presence of symptoms from birth, many patients with PCD remain undiagnosed until adulthood. Many advances in the diagnosis of PCD have occurred in recent years, including nasal nitric oxide assays, ciliary motility tests, and genetic sequencing. Early diagnosis and symptom management may reduce morbidity and mortality from PCD improving the patient's quality of life.

The Impact of Air Pollution on Human Health in Suwon City

  • Jeong, Sang Jin
    • Asian Journal of Atmospheric Environment
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    • 제7권4호
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    • pp.227-233
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    • 2013
  • Scientific evidence shows that ambient air quality is one of the major environmental issues related to human health. The aim of this paper was to provide quantitative data on the short-term impact of air pollution on the mortality and morbidity of people living in Suwon city. There are some studies that have conducted health impacts of the air pollution in Seoul, Korea. However, there are few studies of the health effects on air pollution conducted in satellite cities of the Seoul Metropolitan area. For this reason, we investigated the health effects of air pollution in Suwon city, one of the highly populated satellite cities of Seoul. In order to estimate the short-term mortality impact of air pollution, this study applied the approach suggested by the World Health Organization (WHO), using AirQ2.2.3 software. Daily concentrations of $PM_{10}$, $O_3$, $NO_2$, and $SO_2$ were used to assess human exposure and health effects, in terms of attributable proportion of the health outcome, annual number of excess cases of mortality for all causes, and cardiovascular and respiratory diseases. Among the four considered air pollutants, $PM_{10}$ had the highest health impact on the 1,118,000 inhabitants of Suwon city, causing an excess of total mortality of 105 out of 4,254 in a year. Sulfur dioxide had the least health impact. Ozone and nitrogen dioxide each caused 42.7 and 81.3 excess cases of total mortality in a year. The results are also in line with those of other international studies that apply AirQ software.

자가팽창성 Stent-graft의 경관적 설치술을 이용한 대동맥류의 치료 -2 예 보고- (Endovascular Placement of Self-Expandable Stent-Graft for the Treatment of Aortic Aneurysms -2 cases-)

  • 신현우;이재성
    • Journal of Chest Surgery
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    • 제33권1호
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    • pp.99-102
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    • 2000
  • The usual treatment for aortic aneurysms is surgical replacement with a prosthetic graft; however the associated morbidity and mortality rates must be considered. Endovascular placement of self-expandable stent-graft is a safe noninvasive treatment that can be an alternative to the surgical repair, the postoperative course of the 2 cases of thoracoabdominal aortic aneurysms was uneventful and no complication has been associated with the stent-graft during the 17 months and 5 months follow-up studies,.

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진단적 식도내시경술에 의한 의인성 식도천공 3례 (Iatrogenic Esophageal Perforation : Three cases Due In Diagnostic Endoscopy)

  • 최종욱;주은정;최한영;김우정;권기환;유홍균
    • 대한기관식도과학회지
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    • 제4권2호
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    • pp.231-234
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    • 1998
  • Esophageal perforation is uncommon, however, due to the lack of serosa layer inflammation spread is rapid and common to neighboring structures, leading to significant mortality and morbidity. With an advancement of endoscopic diagnosis there is an increase of esophageal injury and perforation due to esophageal endoscopic procedure. The authors have recently experienced three cases of iatrogenic esophageal perforation following diagnostic endoscopic procedure of the esophagus. We summarize the pervention, diagnostic and therapeutic strategies for iatrogenic perforation.

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