• 대한기관식도과학회:학술대회논문집
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• 대한기관식도과학회 1976년도 제10차 학술대회연제 순서 및 초록
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• pp.90.4-90
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• 1976

식도이물은 이비인후과 영역에서 흔히 볼 수 있는 질환으로서 국내외를 막론하고 수많은 보고가 있으며 특히 유소아에 있어서 가장 많은 이물로는 주화라는 사실도 대부분의 보고자와 일치하는 것은 자타가 공인하는 사실이라고 하겠다. 그런데 특별한 경우를 제외하고는 이 주화로 인하여 합병증을 일으키는 경우는 별로 많지 않으며 간혹 유아에서 호흡곤란을 초래하여 기도이물과 혼동하기 쉬운 경우가 있다. 저자들은 최근에 만 1세된 여아에서 유아에게서는 보기드문 생선뼈가 식도 제1 협착부에 5일간 개재되어 있으면서 연하곤란, 흡기성 호흡곤란 및 발열을 주소로 래원 하였으나 엑스선검사로 피하기종, 식도주위농양, 종격동기종, 종격동염 및 폐확장부전증의 병발이 확인되어 불행한 결과를 초래한 보기드문 1례를 경험하였기에 문헌적 고찰과 함께 보고하는 바이다.

• Journal of Chest Surgery
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• 제20권3호
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• pp.528-535
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• 1987

A clinical study was performed on 164 cases of PDA experienced at the Dept. of Thoracic and Cardiovascular Surgery of Pusan National University Hospital during 6 years from Jan. 1981 to Dec. 1986. It was shown that the PDA was a female-dominant heart disease [male to female ratio, 1:2.8] and two most common symptoms were frequent URI [45.6%] and exertional dyspnea [36.7%]. Continuous machinery murmurs were detected in 143 cases [87.2%], increased pulmonary vascularities [89.0%] and cardiomegalies [63.4%] by chest X-ray. The signs of LVH [43.9%], RVH [3.7%] and BVH [4.9%] were noted on the EKG. Cardiac catheterizations were performed on 67 out of 164 patients and the mean systolic pulmonary artery pressure was 48mmHg [range: 18-131mmHg] and the mean Qp/Qs was 3.1 [range:1.2-8.5] and Rp/Rs below 0.25 was 83.6%. Associated cardiac anomalies were VSD [7.9%], ASD [3.0%], pulmonary valvular stenosis [2.4%] and left persistent SVC [2.4%]. Operative methods were as follows; ligations [145; 88.4%] and divisions [6;3.7%] were performed through the left posterolateral thoracotomies without mortality and the remained cases [13;8.0%] were managed under the cardiopulmonary bypass because of the associated cardiac anomalies. Atelectasis [4.9%] and pneumonia [4.3%] were most frequent postoperative complications and the overall mortality rate was 2.4% [4 out of 164 cases].

• Journal of Chest Surgery
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• 제28권12호
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• pp.1132-1138
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• 1995

From 1991 to 1994, we experienced 24 cases of neonatal pneumothorax who were admitted to the Neonatal Intensive Care Unit[NICU , Chosun University Hospital. The Following results were obtained.1 The incidence of neonatal pneumothorax was 0.70%, and there were 8 spontaneous pneumothoraces and 16 secondary pneumothoraces. 2 The clinical manifestation of neonatal pneumothorax was as followed. Male infant was dominant[M:F=2:1 , the onset was within 24 hours in the majority[83% , and the right side[62% was more frequent than the left side. The gestation duration and birth weight show no correlation with underlying neonatal pneumothorax. The pulmonary diseases were meconium aspiration syndrome and hyaline membrane disease, and the incidence of those was 58%. Meconium aspiration syndrome occurred earlier than hyaline membrane disease. Symptoms and signs were tachypnea[46% , cyanosis[21% , irritability[13% , chest retraction[8% and apnea[8% .3 The treatments performed were oxygen therapy[17% , thoracentesis[4% and closed thoracostomy with underwater seal drainage[79% . The Mean duration of air leakage was 11.7 hours, and the mean drainage time was 4.35$\pm$1.3day. 4 The overall hospital mortality was 33%, and the rate of complication was 46%. The complications were metabolic acidosis, atelectasis, pleural effusion, pulmonary hemorrhage and pneumonia. We concluded that the prognosis was related to the underlying pulmonary disease.

• Journal of Chest Surgery
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• 제37권8호
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• pp.707-710
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• 2004

다리기관지는 상당히 드문 기관지 기형으로 종종 슬링좌폐동맥과 동반되며 대부분 영아에서 진단되거나 부검에서 발견된다. 본 증례는 29세 여자 환자로 과거력상 특이병력이 없었으며 2년 전 폐결핵을 치료한 뒤 최근 한 달간의 발열, 기침, 가래를 주소로 내원하여 시행한 기관지내시경 및 흉부 전산화단층촬영 검사에서 다리기관지와 이와 동반된 무기폐로 진단되었다. 다리기관지는 좌측 주기관지에서 기시하여 종격동을 지나 우중엽과 우하엽과 연결되어 있었으며 동반된 폐동맥이상은 없었다. 수술은 우중엽 및 하엽 이엽절제술을 시행하였다.

• Tuberculosis and Respiratory Diseases
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• 제44권2호
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• pp.223-231
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• 1997

A total of 322 patients with endobronchial tuberculosis (8.1%) out of 3,982 subjects who had a flexible fiberoptic bronchoscopic examination at the Department of Pulmonary Medicine of Hanyang University Hospital between the beginning of March 1982 and the end of April 1996 were included in this study. The peak incidence occurred in the second decade, and the male to female was 1 : 3.0. The barking cough with variable amounts of sputum was the most common chief complaint in 56.9% of the 313 patients. Other complaints included dyspnea, chest pain, fever, hemoptysis, and generalized weakness. Localized wheeze was heard over the chest in 16.9% of the 313 patients. Infiltration/consolidation was the most common roentgenographic finding of the chest in 64.2%. Bronchoscopically, hypertrophy with luminal narrowing was the most common findings in 32.3% of the 322 patients and left main bronchus was the most frequently involved in 24.0%. Using fiberoptic bronchoscopy allows not only substantial meaningful assessment of endobronchial tuberculosis but also makes a differential diagnosis of lung cancer in older patients. We need further evaluations of standard bronchoscopic classification of endobronchial tuberculosis, diagnostic accuracy of endobronchial tuberculosis by PCR, a large prospective study of effects of corticosteroids in endobronchial tuberculosis patients, and appropriate treatment of atelectasis by endobronchial tuberculosis.

• Tuberculosis and Respiratory Diseases
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• 제78권2호
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• pp.137-141
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• 2015

Lymphomatoid granulomatosis (LYG) is an angiocentric and angiodestructive neoplastic proliferation of B and T lymphocytes commonly involving the lungs. Epstein-Barr virus is commonly detected in lesional cells. We report a case of a 54-year-old female with underlying monoclonal gammopathy of unknown significance who presented with a 4 week history of dyspnea and cough. Computed tomography scan of the chest showed multiple lung nodules as well as endobronchial narrowing causing atelectasis at the left upper lobe. Bronchoscopic findings revealed obstruction at the lingula segment due to endobronchial mass as a rare presentation. Bronchoscopic biopsy was diagnosed with LYG grade 1. After treatment, the endobronchial mass and lung lesions were completely resolved. However, the patient eventually evolved to malignant lymphoma after 1 year.

• Journal of Chest Surgery
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• 제1권1호
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• pp.11-18
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• 1968

Author studied the possible pathogenesis of spontaneous pneumothorax and its effective treatment in 33 cases, and the results obtained as follows:1) Of the 33 cases, 15 cases were originated from pulmonary tuberculosis, 11 cases were non-tuberculous natures and 7 cases were followed by traumatic chest injuries which were not associated with a laceration of the lung or rib fractures.2) So called "Idiopathic spontaneous pneumothorax" seemed mostly to be caused by rupture of the emphy- sematous blebs.3) Spontaneous pneumothorax, in process of the pulmonary tuberculosis, seemed to be caused by the rupture of blebs which was formed with a pathological process of chronic pulmonary tuberculosis.4) Author experienced interesting cases of giant blebs which had been fully occupied the right thoracic cavity. At first, it was misdiagnosed as extensive spontaneous pneumothorax on X-ray which was revealed extensive pleural air shadow with total atelectasis of the right lung. A pneumonectomy was performed together with the giant multiple blebs.5] Generally, closed thoracotomy with water-sealed drainage is the treatment of choice in spontaneous pneumothorax. However, open thoracotomy and adequate surgical procedures should be undertaken in patients with continuous air leakage or recurrent attack of spontaneous pneumothorax.aneous pneumothorax.

• Journal of Chest Surgery
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• 제29권12호
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• pp.1366-1372
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• 1996

기관지성형술은 폐기능이 저하되어 폐절제술이 불가능한 폐암 환자들에서 폐기능을 보존하면서 근치술을 시행할 수 있으므로 선택된 환자에서 널리 사용왔으며 동시에 폐쇄성 기관지 질환을 갖는 양성 환자들에서도 해부학적 교정을 통한 정상 호흡기능을 회복할 수 있는 수술로서 자리잡고 있다. 저자들은 1990년 4훨부터 1996년 4월가지 13명의 기관지 협착이나 폐쇄를 가진 환자들에서 2가지 방법의 기관지 성형술을 이용해서 치료하였다. 13명의 환자들은 남자 8명, 여자 5명이었고 평균연령은 43세로 19세부터 64세까지였다. 2가지의 기관지성형술은 자가늑연골편과 심낭편으로 제작한 첨포를 이용하는 기관지 확장성형술과 기관지 구역절제후 단단문합술로써 5명의 기관지 협착 환자에서는 확장 성형술을 적용하였으며 이들의 선행질환으로는 3례는 염증성 기관지확장증이었고 2례에서는 기관지 결핵이 동반된 기관지확장증이 있었다. 기관지 구역절제후 단단문합술은 8례의 기관폐쇄 환자에서 시행되었는데 선행질환으로는 기관지결핵이 6례, 외상 및 이물질에 의한 경우가 각각 1례씩 있었다. 수술과 연관된 사망은 없었으며, 합병증으로는 문합부의 재협착 례, 청포의 불안정으로 인한 장기간의 무기폐가 각각 1례씩 발생하였다. 결론적으로 기관성형술은 기관지 폐쇄나 혈착에 기인한 무기폐 환자에서 허탈된 폐의 생리적 기능을 정상으로 회복시키기 위해 시행될 수 있는 유용한술기이다.

• Journal of Chest Surgery
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• 제36권7호
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• pp.527-530
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• 2003

재팽창성 페부종은 기흉이나 흉수 또는 무기폐로 인한 폐허탈을 치료할 때 생기는 매우 드문 합병증으로 때로는 중한 상태에 빠져 사망에 이르기도 한다. 재팽창성 폐부종은 오랜 기간동안 폐허탈이 있는 상태에서 빠른 속도로 많은 양의 공기나 흉수를 일시에 제거하여 발생한다 오랜 기간동안 허탈된 폐를 치료할 때에는 반드시 재팽창성 폐부종의 가능성과 합병증의 예방에 대하여 염두해 두어야 한다. 재팽창성 폐부종 환자에서 양측 폐의 기도저항과 탄성 차이가 심한 경우에, 관례적인 인공호흡기 치료법을 시행하면 정상인 한족 폐의 과폐창과 다른 한쪽 폐의 점차적인 허탈이 일어난다. 분리형 폐환기법은 이러한 문제점을 해결하는데 도움이 된다. 저자들은 두명의 남자 환자에서 심한 재팽창성 폐부종에 대하여 분리형 페환기법으로 치료하여 좋은 결과를 얻었기에, 분리형 폐환기법을 심한 재팽창성 폐부종의 치료법으로 제시한다.

• Tuberculosis and Respiratory Diseases
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• 제46권2호
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• pp.260-265
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• 1999

The first case of allergic bronchopulmonary aspergillosis(ABPA) was reported by Hinson, et al. in 1952. This was followed by a number of significant description of the disorder. Although typical ABP A initially presents with asthma, fleeting pulmonary infiltrates, and marked eosinophilia, there are many other ways in which the disease may be first manifested. Common radiologic findings in ABP A include pulmonary infiltrates, atelectasis, emphysema, fibrosis, lobar shrinkage with hilar elevation, cavitation, pneumothorax, aspergilloma and central bronchiectasis. We experienced a case of allergic bronchopulmonary aspergillosis presenting rare radiologic finding of bilateral pulmonary masses in chest radiography. With oral corticosteroid treatment, the size of both pulmonary masses was decreased significantly and his asthmatic symptoms were improved.