• Title/Summary/Keyword: atelectasis

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Radiographic Findings and Atelectasis in Children Admitted to Hospital with Acute Asthma (입원한 천식 환아들의 흉부 방사선 소견과 무기폐)

  • Jung, Yoo-Jin;Jung, Hye-Jin;Lee, Kyung-Yil;Lee, Won-Bae;Yang, Dong-Hurn
    • Clinical and Experimental Pediatrics
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    • v.45 no.4
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    • pp.519-523
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    • 2002
  • Purpose : We aimed to evaluate the abnormalities of chest radiographs including atelectasis in children who were admitted with bronchial asthma. Methods : We retrospectively analyzed the 357 chest radiographs and the clinical and laboratory features of the 144 children with asthma, who were admitted at Daejoen St. Mary's Hospital from April 1994 to May 1998. Results : Clinical and laboratory characteristics were as follows : male to female ratio, 2.1 : 1; mean age, 4.8 years of age; mean numbers of admission, 2.5; mean hospitalization, 5.0 days; mean IgE, 387 IU/mL; mean eosinophil count, $362/mm^3$. In the abnormal findings of the 357 radiographs, there were 314 cases(88.0%) of hyperinflation, pulmonary infiltration 35.0%, atelectasis 5.3% and pneumomediastinum 0.3%. All(19) cases of atelectasis were observed in the right lung field with mostly segmental and lobular distribution, except one with lobar involvement. Atelectasis was predominant in males and those under 2 years of age. There was a tendency that the right upper lung was more involved under two years while the right lower lung was more involved over seven years of age. Conclusion : Radiographs of children admitted to hospital with bronchial asthma showed abnormal findings including pneumonia or atelectasis(5.3%). These abnormal findings can help to determine other therapeutic modalities in addition to asthma treatment.

Effect of Radiation Therapy on Atelectasis from Lung Cancer (무기폐를 동반한 폐암의 방사선 치료)

  • Hong, Seong-Eon;Hong, Young-Ki
    • Radiation Oncology Journal
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    • v.8 no.1
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    • pp.73-77
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    • 1990
  • From January 1981 to December 1989, total 42 patients with atelectasis from lung cancer were treated with radiation therapy at the Department of Therapeutic Radiology in Kyung Hee University Hospital. The reexpansion of atelectasis after radiotherapy of the lung was evaluated retrospectively, utillzing treatment records and follow-up chest radiographs. Of the patients with non-small cell carcinoma of the lung, the response rate was $62\%$ (21/34). Patient with small cell carcinoma showed a $75\%$ (6/8) response rate. There appears to be some evidence of a relationship of total tumor dose versus response of atelectasis; radiation dose over 40 Gy (1337 ret), had a favorable effect on the rate of response compared with that below 40 Gy (1297 ret), $70\%$(21/30) and $50\%$ (6/12), respectively (p<0.01). Total response rate (partial and complete responses) of all patients was $64\%$ (27/42). Franction size was not contributed to the difference of response rates between small fraction ($180\~200$ cGy) and large fraction (300 cGy), $53\%$ (14/22) and $65\%$ (13/20), respectively. The results of this study suggest that radiation therapy has a definite positive role in management of atelectasis caused by lung cancer, especially in inoperable non-small cell carcinoma.

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Double Aortic Arch Associated with Complete Transposition of the Great Arteries (혈관륜을 동반한 대혈관전위증의 치험 1)

  • 박국양
    • Journal of Chest Surgery
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    • v.20 no.1
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    • pp.209-212
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    • 1987
  • The authors report a case of double aortic arch associated with complete transposition of the great arteries. On 7th, Feb. 1985, Rastelli operation was performed for transposition using extracardiac valved conduit. Postoperative course was complicated by persistent right lower lobe atelectasis which resulted from tracheal compression by double aortic arch. On 20th, Mar. 1985, left arch was divided distal to the left subclavian artery followed by complete resolution of the atelectasis. To the best of our knowledge, this is the first case ever reported in Korea.

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Right middle lobe syndrome -Report of 4 cases- (폐 우중엽 증후군)

  • 이동협
    • Journal of Chest Surgery
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    • v.19 no.4
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    • pp.731-735
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    • 1986
  • Atelectasis with chronic pneumonitis affecting the right middle lobe secondary to compression of the middle lobe bronchus by enlarged indurated or calcified peribronchial nodes is defined as middle lobe syndrome clinicopathologically. The lesion in this series of case reports including tuberculous lymphadenitis, lung cancer, atelectasis and lung abscess with organizing pneumonitis, had been treated by lobectomy. Postoperative courses were uneventful in all patients. Herewith, we report these four experiences with review of literature.

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ACUTE MAMMALIAN TOXICITY OF O-CHLOROBENZYLIDENE MALONONITRILE(CS)

  • Rim, Byung-Moo;Rim, Chae-Woong
    • Toxicological Research
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    • v.5 no.1
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    • pp.49-52
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    • 1989
  • Acute inhalation intoxication of CS (O-chlorobenzylidene malononitrile) occurred among the 192 animals in confined animal cages of farm as the result of prolonged exposure. A total of 8 animals (3 silver foxes, 3 fitches and 2 minks) died in 15 hours after the exposure. Distinct evidences of pulmonary atelectasis were observed as with hepatorenal damages. The lethal toxicity of CS was considered to be due to early severelung damages leading to asphyxia, accompanying acute toxic hepatitis and nephritis.

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A Case of Endobronchial Tuberculosis with Repeated Expectoration of Nodular Tissues (반복적인 결절조직 배출 후 호전된 기관지 결핵 1예)

  • Kim, Soo Woong;Lee, Byoung Hoon;Ahn, Youngsoo;Kim, Nam In;Eom, Woo Youn;Woo, Jeong Joo;Kim, Sang-Hoon
    • Tuberculosis and Respiratory Diseases
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    • v.59 no.2
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    • pp.204-208
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    • 2005
  • Herein, we report a case of tumorous endobronchial tuberculosis with successful recovery of atelectasis without any significant bronchial stricture, after repeated expectorations of nodular tissues. A 24-year-old male patient was presented with persistent cough. The patient was diagnosed to be suffering from tuberculous lymphadenitis on right axillar and mediastinum of lung, and was subsequently treated with antituberculosis agents. After two months, clinical deteriorations and atelectasis were observed on right upper lobe of lung. Multiple endobronchial tumorous lesions, which obstructed the right main bronchus, were revealed on bronchoscopy, and based on the endobronchial biopsy findings we confirmed that the patient was suffering from endobronchial tuberculosis. We decided to administer antituberculosis agents without any additional procedure. After few weeks, the patient spontaneously expectorated nodular tissues with vigorous coughing. Later on, the symptoms and atelectasis disappeared and the patient was completely recovered. This case shows that in patients suffering from tumorous endobronchial tuberculosis, endobronchial mass can be expectorated spontaneously without sequelae of significant bronchial stenosis.

Tracheopathia Osteochondroplastica with Recurrent Massive Hemoptysis and Atelectasis: A Case Report (대량 객혈과 무기폐를 동반한 기관 골연골증 1예)

  • Oh, In Jae;Ju, Jin Young;Choi, Yoo Duk
    • Tuberculosis and Respiratory Diseases
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    • v.65 no.3
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    • pp.235-238
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    • 2008
  • We treated a rare case of TO that presented with recurrent massive hemoptysis that resulted in total obstruction of the bronchus intermedius by very large blood clots. Bronchoscopic intervention resulted in a full recovery from the atelectasis. However, there are no guidelines for preventing recurrence of the hemoptysis or disease progression. Conservative and expectant management are used to treat these patients and most do well.

Atelectasis by Bronchial Secretion: Report of Four Cases (기관내 분비물로 인한 무기폐: 4례 보고)

  • 이선희;김세화;이홍균
    • Journal of Chest Surgery
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    • v.6 no.1
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    • pp.41-46
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    • 1973
  • This is a report on four cases of atelectasis which were implicated as one case of mucoid impaction and three cases of blood clots in main bronchus. The 1st case was found to be massive atelectasis on Lt. entire lung due to mucoid impaction with pulmonary tuberculosis. This case was performed the Lt. pneumonectomy. There are contain-ing impacted yellowish-gray jelly like thick materials on the Lt. whole bronchial trees and pathologic findings were consistent with tuberculosis including caseation necrosis and multinucleated giant cell on whole left lung thoroughly in microscopic findings. The 2nd and 3rd case [25 years old female and 30 years old female] were diagnosed as one sided entire lung ateletasis which were led by accumulation of old blood clots on bronchus following incomplete expectoration of sudden massive hemoptysis from pulmonary tuberculosis lesion. These two cases were recovered by removal of blood clots and bronchial irrigation under bronchoscopy. Follow up chest film revealed well aeration. The 4th case [45 years old] was taken the removal of old blood clots and tissue debris under the bronchoscopy as bronchial obstruction following massive hemoptysis. The cytologic findings revealed the class III in fresh sputum and class 1V in bronchial irrigation which may suggest of malignancy. However, we could not found the causative lesions suggestive malignancy by the bronchography and other diagnostic measurements.

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Isolated Endobronchial Mycobacterium avium Disease Associated with Lobar Atelectasis in an Immunocompetent Young Adult: A Case Report and Literature Review

  • Kim, Hye In;Kim, Ji Won;Kim, Jun Young;Kim, Young Nam;Kim, Jin Hae;Jeong, Byeong-Ho;Chung, Myung Jin;Koh, Won-Jung
    • Tuberculosis and Respiratory Diseases
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    • v.78 no.4
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    • pp.412-415
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    • 2015
  • The prevalence of lung diseases caused by nontuberculous mycobacteria (NTM) is increasing worldwide. Unlike pulmonary tuberculosis, endobronchial NTM diseases are very rare with the majority of cases reported in patients with human immunodeficiency virus infection and acquired immune deficiency syndrome. We reported a rare case of endobronchial Mycobacterium avium disease associated with lobar atelectasis in a young immunocompetent patient and reviewed the relevant literature.

Total Left Lung Atelectasis Secondary to Patent Ductus Arteriosus (동맥관개존증에 합병한 좌전무기폐의 치험례)

  • 오재상
    • Journal of Chest Surgery
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    • v.11 no.3
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    • pp.316-320
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    • 1978
  • This report presents a case of patent ductus arteriosus complicated with total left lung atelectasis and mitral regurgitation. Her mother complained growth retardation and exertional dyspnea. The 3 year old girl had large patent ductus arteriosus [Qp/Qs=5.6] which resulted in moderate pulmonary hypertension, left atrial hypertrophy and enlargement, consequently the left main bronchus was compressed between the dilated left atrium and aorta. We would like conclude the cause of mitral regurgitation as the result of annular dilatation secondary to left atrial enlargement rather than congenital associated to patent ductus arteriosus. 3 weeks later from ligation of patent ductus arteriosus, the left atrial dimension was markedly reduced echocardiographically [from 3.9cm to 2.7cm], and the left lung progressively aerated by halves.

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