• 제목/요약/키워드: cases study

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심실중격결손증 폐쇄술후 잔존심잡음의 발생기전에 관한 임상적 연구 (The Clinical Study to the Mechanism of Remained Murmur after VSD Repair)

  • 정황규
    • Journal of Chest Surgery
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    • 제22권4호
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    • pp.630-637
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    • 1989
  • Author studied 30 cases of remained heart murmur patients after VSD repair. The age ranged from 7months to 27 years, and sex ratio was 29: 1 in male and female. Perimembranous trabecular type of VSD was the most common causes of remained murmur after operation 11 cases, and the next was subpulmonic type 9 cases. The VSD size between 1.1 and 2.0cm in diameter was the most common in 15 cases. The operative method frequently used was patch closure in 21 cases, and commonly used surgical approaching way was through right atrium. Mechanisms of origin of postoperative remained murmur was from TR 9 cases, PI 6 cases, PS 5 cases, remnant shunts 5 cases, pulmonary artery dilatation 2 cases, MR 2 cases, and subaortic stenosis 1 cases.

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폐농양의 임상적 고찰 (A Clinical Review of Lung Abscess - 27 cases -)

  • 김민호
    • Journal of Chest Surgery
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    • 제20권3호
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    • pp.552-556
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    • 1987
  • During the preantibiotic era, lung abscess carried a high mortality, however, with the introduction of penicillin and subsequently other antibiotics, significant improvement was resulted. Clinical review was performed on 27 cases of lung abscess, those were admitted and treated at the Department. of Thoracic and Cardiovascular Surgery, Chonbuk University Hospital, from 1979 to August, 1986. The following results were obtained. The most common age of occurrence was between the age of 40 and 60 [14 cases] and 22 cases were male patients. The common symptoms were cough, putrid sputum production, fever and chilliness. Numerous etiological factors may play a role in the formation of lung abscess; pneumonia [7 cases], aspiration [5 cases], bronchiectasis [2 cases], liver abscess [1 case] and broncholith [1 case]. The bacteriologic study revealed increased incidence of Enterobacteriaceae [15 cases]. The treatment methods were postural drainage [12 cases]. pneumonostomy [5 cases], lobectomy [8 cases], thoracostomy [2 cases].

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식도암의 임상적 고찰 [III] (Cancer of the Esophagus and Cardia [III]: A Clinical Review of 55 cases)

  • 이강식
    • Journal of Chest Surgery
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    • 제23권5호
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    • pp.922-928
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    • 1990
  • Treatment of patients with esophageal carcinoma remains disappointing. Fewer than 20% *of patients with esophageal carcinoma treated with curative intent by surgery and radiation therapy will be alive at 5 years. Fifty five patients underwent treatment for carcinoma of the esophagus and cardia which retrospective clinical study done between January 1983, and December, 1989 in Department of Thoracic and Cardiovascular Surgery, National Medical Center, Seoul, Korea. There were 48 men. 7 women and the mean age was 56.2 years[range, 38 to 78 years]. The most frequent preoperative findings included dysphagia[46 cases], weight loss[33 cases] and substernal pain[19 cases]. 19 cases[34.5%] were underwent resectional surgery, which was total esophagectomy with esophagogastrostomy[ 5 cases], with colon interposition[3 cases], lower esophagectomy with esophagogastrostomy [10 cases], with total gastrectomy and esophagojejunostomy [1 case]. The operative mortality was 15.8%[3/19] and causes of death were respiratory failure in 2 cases, and 1 case of sepsis. Palliative procedures, such as feeding gastrostomy and jejunostomy[14 cases], bypass surgery without resection[ 4 cases], radiation therapy[ 3 cases] were done.

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강원도내 광견병 발생 및 진단 (Recent outbreaks of rabies in Gangwon-do)

  • 신은경;신명균;한태옥
    • 한국동물위생학회지
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    • 제27권1호
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    • pp.31-39
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    • 2004
  • This study was performed to investigate the rabies surveillance in Gangwon-do from 1997 to 2001. Of 185 laboratory submissions for rabies diagnosis, 65(35.1%) cases were determined to be infected with the rabies virus. Annual incidence of animal rabies was 10 cases in 1997, 20 cases in 1998, 16 cases in 1999, 3 cases in 2000, and 16 cases in 2001, respectively. The total number of the reported cases were increased 382% compared with that of the previous period from 1993 to 1996(7 cases). The relative contributions of infected animals in this period were as follows: cattles(24 cases), dogs(26 cases), and raccoons(15 cases). Rabies outbreak in raccoon were steadily expanded. Epidemiologic surveillance showed the rabies outbreaks spreaded to the southern area in Gangwon-do. All rabies cases were showed positive results to rabies tests such as clinical signs, histopathological findings, indirect flourescent antibody test, and mouse inoculation test. Further studies such as genetic and phylogenetic analysis of the isolates should be performed in order to figure out accurate rabies outbreak.

허약(虛弱)을 주소(主訴)로 내원한 환아(患兒)의 임상적 특징과 진단법(診斷法)에 관한 연구 -안색(顔色)과 설진(舌診)을 중심으로- (Clinical study for inspection of face color and tongue state on Weak Children)

  • 유선애;이승연
    • 대한한방소아과학회지
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    • 제16권2호
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    • pp.23-37
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    • 2002
  • We have plenty of study of adults diseases, but not much has been said about children. 79 children who had visited in the weak children of Dongeui Oriental Medical Hospital from March, 2002 to October, 2002, were the respondents of the Weak Child Questionnaire. The results obtained were as follows: 1. Their symptoms have been observed with sequences of respiratory diseases, Digestive diseases, Psycho-neurological diseases. 2. Distribution of sex and ages : male 38 cases, female 41 cases. $0{\sim}6$ years 60 cases, $7{\sim}12$ years 17 cases, $13{\sim}18$ years 2 cases. 3. The texture of complexion was resulted in face color and the region of the face : whitish-2/ cases. yellowish-27 cases, darkish-22 cases, blue-2 cases, flushed face-l case. Sangeun(山根)-blue : 59 cases, a lower eyelid- dark or light brown : 54 cases. the rests of color on face region didn't mean. 4. The texture of tongue was ended in tongue state : tongue form-not plump not haggard patten(57 cases), a pricky patten(12), a map patten(7), a fissured patten(3). tongue color- pink (57 cases), red(16), light white(6). coating color- thin white(61 cases), thin yellow(l0), lack(6), deep and white(2). tongue coating substance-thin(72 cases), moisten(5), dry(1), deep(1).

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Anisakiasis: Report of 15 Gastric Cases Caused by Anisakis Type I Larvae and a Brief Review of Korean Anisakiasis Cases

  • Sohn, Woon-Mok;Na, Byoung-Kuk;Kim, Tae Hyo;Park, Tae-Joon
    • Parasites, Hosts and Diseases
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    • 제53권4호
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    • pp.465-470
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    • 2015
  • The present study was performed to report 15 anisakiasis cases in Korea and to review the Korean cases reported in the literature. Total 32 Anisakis type I larvae were detected in the stomach of 15 patients by the endoscopy. Single worm was detected from 12 cases, and even 9 larvae were found from 2 cases. Epigastric pain was most commonly manifested in almost all cases, and hemoptysis and hematemesis were seen in 1 case each. Symptom manifestations began at 10-12 hr after eating fish in 73.3% cases. Endoscopy was performed 1-2 days after the symptom onset in most cases. The common conger, Conger myriaster, was the probable infection source in 7 cases. In the review of Korean anisakiasis cases, thus far, total 645 cases have been reported in 64 articles. Anisakis type I larva was the most frequently detected (81.3%). The favorable infection site of larvae was the stomach (82.4%). The common conger was the most probable source of human infections (38.6%). Among the total 404 cases which revealed the age and sex of patients, 185 (45.8%) were males, and the remaining 219 (54.2%) were female patients. The age prevalence was the highest in forties (34.7%). The seasonal prevalence was highest in winter (38.8%). By the present study, 15 cases of gastric anisakiasis are added as Korean cases, and some epidemiological characteristics of Korean anisakiasis were clarified.

무월경 환자의 세포유전학적인 연구 (A Cytogenetic Study of Amenorrhea)

  • 이경순;한정호;문신용
    • Clinical and Experimental Reproductive Medicine
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    • 제26권3호
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    • pp.467-474
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    • 1999
  • Objectives: Cytogenetic investigations were carried out on 770 women with primary (n=560) and secondary amenorrhea (n=210) to determine the frequency of chromosomal or genetic causes of amenorrhea. Materials and Methods: In 770 women with primary amenorrhea (n=560) and secondary amenorrhea (n=210), chromosomal analysis were performed. Results: 1) The most prevalent age group is 16-20 years of age group with primary amenorrhea and 26-30 years of age group with secondary amenorrhea. 2) Out of 560 cases of primary amenorrhea, 343 cases (61.3%) had the normal chromosome constitution and 217 cases (38.7%) had the abnormal chromosome constitution including 46,XY. 3) In 217 cases of abnormal chromosome of primary amenorrhea, 57 cases (26.3%) had 45,X and 34 cases (15.8%) had the 46,XY, 24 cases (11.0%) had 45,X/46,X,i (Xq), 23 cases (10.6%) had 45,X/46,X,+mar and 14 cases (6.6%) had 45,X/46,XY. 4) Out of 210 cases of secondary amenorrhea, 181 cases (86.2%) had the normal chromosome constitution and 29 cases (13.8%) had the abnormal chromosome. 5) In 29 cases of abnormal chromosome of secondary amenorrhea, 7 cases (24.1%) had 45,X/46, X,i (Xq), 4 cases (13.8%) had 45,X/46,XX. Conclusion: High percentage of chromosomal abnormalities was diagnosed in primary amenorrhea and most of them were sex chromosome anomalies. In secondary amenorrhea, the prevalence was lower than primary amenorrhea, so a preselection of patients with secondary amenorrhea for cytogenetic investigations seems to be necessary.

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뇌지주막 낭종의 치료결과 분석 (Analysis of Treatment Result of Arachnoid Cyst)

  • 이정환;김오룡;김성호;배장호;최병연;조수호
    • Journal of Korean Neurosurgical Society
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    • 제30권sup2호
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    • pp.211-215
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    • 2001
  • Objective : The present study was performed to analyze treatment results for 22 cases of arachnoid cyst and to have appropriate surgical method in our department. Material and Methods : We performed a retrospective study in 22 cases in 11 years between 1989 to 2000 that could be followed up. The analysis was based on the results of patients age, sex distribution, developed area, clinical symptom, treatment method, and complication. Results : The age range of cyst development was between 7 months to 60 years with the average age of 21 years. As for sex distribution, 20 were male and 2 were female, with significantly more cyst development in males than females. Thirteen cases were developed in the sylvian fissure, 3 cases in the posterior fossa, 4 cases in the cerebral convexity of the supratentorial area, 1 case in the suprasella and 1 case in interhemiphere. Those cases with the sylvian fissure involvement included 6 cases of Type I, 4 cases of Type II, and 3 cases of Type III. As for the distribution according to hemisphere, more arachnoidal cysts were seen in the right hemisphere. The most common clinical symptom was headache, followed by seizure and speech disturbance. As for the treatment method in 22 cases, surgery was performed in 17 cases and conservative treatment in 5 cases. Fenestration was performed in 14 cases. 13 cases of them showed good outcome, and 1 case with delayed development showed no improvement. Cyst-peritoneal shunt was done in 2 cases. Both fenestration and cyst-peritoneal shunt were done in 1 case. Conclusion : Patients who perforemed fenestration were showed good outcome with few complication. We concluded that fenestration is the most appropriate surgical method for arachnoid cyst.

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어린이신문 및 잡지에 게재된 식생활 관련 정보 현황조사(2002년) (Analysis of Dietary Informations in Newspapers and Magazine for Children (2002))

  • 문현경;조연진
    • Journal of Nutrition and Health
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    • 제38권2호
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    • pp.161-172
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    • 2005
  • Children regard newspapers and magazines as the important source of information. Because informations about diet in the newspaper and magazines are regarded as good, it is necessary to find out whether informations provided to children are correct. Thus, this study shows the present situation of informations on diet by monitoring 3 newspapers (Kids. Chosun, Kids. Donga, Kids. Hankook) and 2 magazines (Earinee - Dongsan, Sae-But) for children. This study focused on the quantitative and the qualitative analysis for articles and advertisements. For the quantity, rate and number were calculated. For the quality, the accuracy was analyzed. Result of this study were as follow; Analyzed the number of articles and advertisements on diet, there are 2 times more number of advertisements (339 cases) than that of articles (180 cases) in the newspaper. There are slightly more number of advertisements (24 cases) than that of articles (18 cases) in the magazine. Most of advertisements are about processed foods and children' favorite foods. Especially, the advertisement of processed foods are ranked first by the quantity with 245 cases (75%) in the newspaper. In the magazine, 10 cases (42%) are about processed foods. About source of advertisements on diet informations in the newspaper, there are 300 cases (86.7%) without evidence based data and 34 cases (9.8%) of interview with entertainers, from the total 346 cases. In the magazine, there are high rate of cases without evidence based data and interview with entertainers. For the evaluation of the information about diet in the newspaper, there are 148 cases (19.7%) with no clear guidance and position, some cases with advertisements for specific products and etc. Discordance between subjects and contents, and emphasis of specified field or some parts are found from the total 750 cases. About the accuracy of contents, from the total 180 cases in the newspaper, 99 cases (55%) are inappropriate and 19 cases (10.6%) are appropriate. In magazines from the total 18 cases, 7 cases (38.9%) are inappropriate and 11 cases (61.1 %) are appropriate. With these results, we can conclude that informations about diet in newspapers and magazine for children needs improvement. Therefore, for newspapers and magazines contents should be reported scienifically by inspecting contents and by taking professional advice, in order to spread the accurate information about diet. Also, there are need to manage the systematic monitoring, for children. (Korean J Nutrition 38(2): 161~172, 2005)

The Efficacy Analysis of Endoscopic Third Ventriculostomy in Infantile Hydrocephalus

  • He, Zhenhua;An, Caixia;Zhang, Xinding;He, Xiaodong;Li, Qiang
    • Journal of Korean Neurosurgical Society
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    • 제57권2호
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    • pp.119-122
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    • 2015
  • Objective : To investigate the efficacy of endoscopic third ventriculostomy (ETV) for infantile hydrocephalus. Methods : Retrospectively reviewed the 17 infantile hydrocephalus cases who were treated with ETV between July 2009 and June 2013. The study includes 17 patients (4 Han and 13 Hui) between the ages of 51 and 337 days. Five cases with encephalitis history and 2 cases with cerebral hemorrhage, with the remaining 10 cases congenital hydrocephalus. ETVs were performed for all patients with 1 case failing because the severe ventricle inflammatory adhesion, excessive exudation, and vague basilar artery. Results : Among the 16 successful cases 7 cases improved remarkably : heads and ventricles reduced and cerebral cortexes thickening morphologically. The ventricles of the remaining cases were unchanged. Conclusion : The ethnic minority account for the majority of the patients in this study. ETV is effective for infantile obstructive hydrocephalus.