• 제목/요약/키워드: Trachea

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기관절개술후에 발생한 기관협착증에 대한 기관절제 단단문합술치험 1례 (Reconstruction of Tracheal Stenosis following Tracheostomy [1 Case Report])

  • 박건주;김공수
    • Journal of Chest Surgery
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    • 제18권2호
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    • pp.345-351
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    • 1985
  • Tracheal stenosis is due to tracheostomy or prolonged intubation. Development of tracheal stenosis following tracheostomy is very serious complication. In recent practice, tracheostomy has became more popular because of increased occasions of major and minor traumas. At the Dept. of thoracic surgery, Chonbuk national university hospital, we have experienced one case of tracheal stenosis following tracheostomy for assisted ventilation. Chest X-ray revealed the narrowing of trachea at cervicothoracic junction due to previous tracheostomy. We resected the narrow segment & tracheal reconstruction was performed with an excellent result in postoperative periods. Postoperative air tracheogram did not reveal demonstrable narrowing of air filled trachea.

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기관의 선양낭포암 치험 1례 (Adenoid Cystic Carcinoma in Trachea - one case Report -)

  • 김창회;김광택;김형묵
    • Journal of Chest Surgery
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    • 제23권2호
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    • pp.362-365
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    • 1990
  • Adenoid cystic carcinoma is a rare primary tracheal tumor, and this tumor behave slow growth, low grade malignancy with local invasion. Although many patient die within 2 to 3 years of the onset of symptoms without appropriate treatment, adequate therapy should lead to survival of 10 years or more. We had a case of adenoid cystic carcinoma in 47 year old female patient who was treated with resection and end-to-end anastomosis of the invaded trachea. Postoperative course was uneventful and discharged without any complications. Radiotherapy of total 6,600 cGy is scheduled 4 weeks after the resective surgery to prevent recurrence.

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결핵성 임파결절에 의한 기관 협착증 치험 1 (Surgical treatment of tracheal stenosis due to paratracheal tuberculous lymphadenitis.*)

  • 강채규
    • Journal of Chest Surgery
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    • 제20권1호
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    • pp.213-217
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    • 1987
  • ; A 15 years old girl was operated due to tuberculous paratracheal lymph node enlargement resulted in marked narrowing of lower part of trachea. She had suffered from sputum expectoration difficulty, which was developed dyspnea and cyanosis. 1st operation was simple removal of enlarged paratracheal lymph node through Rt. thoracotomy but restenosis sign developed 2 months later in spite of Anti-Tbc. medication. 2nd operation was resection of constricted tracheal portion [2.5cm] 8 end to end anastomosis under Extra Corporeal Circulation. Under Extra Corporeal Circulation trachea reconstruction offered many conveniences during operation. Till now, she has been follow up checked for one year, she was very good post-operation state without any restenosis signs.

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기관에 생긴 기관지선종 치험 1례 (A case report A Case Report of Adenoid Cystic Carcinoma in Trachea)

  • 윤여준;조범구;홍승록
    • Journal of Chest Surgery
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    • 제11권3호
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    • pp.265-268
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    • 1978
  • Adenoid cystic carcinoma is rare and one of the bronchial adenoma. This is a case report of adenoid cystic carcinoma in a 28 years old female patient, which was treated surgically in chest surgery department of Severance hospital, Yonsei University. The tumor was located in cervical trachea with wide base and obstructing the lumen almost completely. The tumor was resected and End-to-End anastomosed. The tumor was confirmed to be adenoid cystic carcinoma histopathologically.

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이중관 기관 삽관후 발생된 기관파열 - 1례 보고 - (Tracheal Rupture Following Double-lumen Endotracheal Tube Intubation -One Case Report-)

  • 박승일;원준호;이종국
    • Journal of Chest Surgery
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    • 제32권8호
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    • pp.765-767
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    • 1999
  • 기관 삽관으로 인한 기관 기관지 파열은 매우 드문 합병증이다. 저자들은 이중관 튜브의 삽관후 발생한 기관 파열을 경험하였다. 76세 여자 환자가 간헐적인 기침과 흉부 불편감을 주소로 내원하였다. 재발된 선천성 좌측주 기관지 식도 루 진단하에 수술을 시행하였다. 수술중 우연히 기관파열이 관찰되었고 기관파\ulcorner은 풍선의 과팽창에 의한 것이었으며 파열부위의 기관을 prolene과 흡수성 봉합사를 이용하여 단단 문합 하였다. 수술후 환자는 합병 증없이 퇴원하였으며 외래를 통해 추적 관찰 중이다.

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외상성 기관식도루 -수술체험 1례- (A Case Report of Traumatic Tracheoesophageal Fistula)

  • 최승호
    • Journal of Chest Surgery
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    • 제27권10호
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    • pp.888-892
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    • 1994
  • Acquired, traumatic tracheoesophageal fistula [TEF] is rare and difficult problem to manage. This 55 years old man met with a roller accident of a tractor. During accident, he received a penetrating injury on the left upper sternal border. At local clinic, he received closed thoracotomy drainage [CTD]for relief of pneumothorax[left]. Three days after CTD, he complained abdominal pain and hematemesis. The endoscopy revealed large ulcer at the stomach, so he received subtotal gastrectomy. On 10th day post subtotal gastrectomy, he developed aspiration and coughing from a TEF. The esophagogram showed large TEF at the mid-trachea level. So he transfered to our hospital for operation. This patient was operated on for late TEF three weeks after injury. We have used absorble 4-0 Vicryl sutures to repair trachea. We repair all esophageal injuries with two layers of nonabsorbable silk suture. Where suture line on the esophagus, the strap muscle was interposed for reinforcement. And for feeding, the feeding jejunostomy was performed. Postoperatively the osteomyelitis of the manubrium site was developed, so on the 30th postoperative day, an ostectomy of manubrium, both clavicle and fight 1st, 2nd ribs, and the pectoralis major musculo-cutaneous flap coverage were performed.

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Two Cases of Glomus Tumor Arising in Large Airway: Well Organized Radiologic, Macroscopic and Microscopic Findings

  • Choi, In Ho;Song, Dae Hyun;Kim, Jhingook;Han, Joungho
    • Tuberculosis and Respiratory Diseases
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    • 제76권1호
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    • pp.34-37
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    • 2014
  • Glomus tumors of the lung are rare benign neoplasm, originating from modified smooth muscle cells. The patients are usually presented with no or non-specific symptoms such as cough, dyspnea or hemoptysis. Although surgical treatment is considered as the treatment of choice, the endobronchial therapy can be applied to the patients who are unfit for surgical excision. Herein, we describe two rare cases of glomus tumor originated at large airway (trachea and main bronchus) without respiratory symptoms and review their characteristic radiologic, macroscopic and pathological features.

마황창출탕(麻黃蒼朮湯)이 GUINEA PIG의 기관지(氣管支) 평골근(平滑筋)에 미치는 영향(影響) (Effect of Mahwangchangchultang Extract on the Contraction of Isolated Guinea Pig Trachea Smooth Muscle)

  • 박노수;한상환;한종현
    • 대한한방내과학회지
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    • 제16권2호
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    • pp.92-100
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    • 1995
  • These studies were carried out to investigate the effect of Mahwangchangchultang water extract on the inhibitory contractile action of acetylcholine in guinea pig. The results of these studies were as follows; 1. Contractile force of acetylcholine from trachea smooth muscle in guinea pig was significantly inhibited by Mahwangchangchultang 2. Dose-response of acetylcholine pretreated Mahwangchangchultang in guinea pig was not significantly changed. 3. Inhibitory contractile action of acetylcholine pretreated propranolol in guinea pig was decreased. 4. Inhibitory contractile action of acetylcholine pretreated indomethacin was not significantly changed by Mahwangchangchultang. 5. Inhibitory contractile action of acetylcholine pretreated methylene blue was not significantly changed by Mahwangchangchultang.

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청금음(淸金飮)이 GUINEA PIG의 기관지(氣管支) 평골근(平滑筋)에 미치는 영향(影響) (Effect of Chunggeumeum Extract on The Contraction of Isolated Guinea Pig Trachea Smooth Muscle)

  • 이철현;한상환
    • 대한한방내과학회지
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    • 제16권1호
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    • pp.146-159
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    • 1995
  • These studies were carried out to investigate the effect of Chunggeumeum water extract on the inhibitory contractile action of acetylcholine in guinea pig. The results of these studies were as follows; 1. Contractile force of acetylcholine from trachea smooth muscle in guinea pig was significantly inhibited by Chunggeumeum. 2. Dose-response of acetylcholine pretreated Chunggeumeum in guina pig was not significantly changed. 3. Inhibitory contractile action of acetylcholine pretreated propranolol in guinea pig was decreased. 4. Inhibitory contractile action of acetylcholine pretreated indomethacin was not significantly changed by Chunggeumeum. 5. Inhibitory contractile action of acetylcholine pretreated methylene blue was not significantly changed by Chunggeumeum.

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기관골형성증 1예 (One Case of Tracheopathia Osteoplastica)

  • 문주영;유지홍;조용선;강흥모;성동욱
    • Tuberculosis and Respiratory Diseases
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    • 제51권1호
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    • pp.76-79
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    • 2001
  • 저자들은 음성변화를 주소로 내원한 73세 남자 환자에서 전산 단층촬영과 기관지내시경을 통해 성문 하부부터 시작된 기관골형성증 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

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