• Title/Summary/Keyword: fatal case

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A study on Intractable disease in the sight of Lee Je Ma (이제마(李濟馬)의 난치병(難治病)에 대(對)한 시각(視角)에 관(關)한 연구(硏究))

  • Jang, Hyun Jin
    • Journal of Sasang Constitutional Medicine
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    • v.7 no.2
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    • pp.129-134
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    • 1995
  • Lee Je Ma (1837~1900) wrote the DongEuSuSeBoWon in 1894. Constitutional Medicine what is called Sasang Medicine has originated from him. In this book he refers to mild, serious, intractable, incurable and fatal disease. In the sight of his Medical theory each state of disease deserves to be researched. 1. In the case of Soumin exhaustion of Yang, Taeyang-Kwolum, noxious Yin, Yang is kept in the exterior by excessive Yin in the interior, middle diabetes and swelling belong to intractable disease and solid mass in the right epigastric zone belongs to fatal disease. 2. In the case of Soyangin exhaustion of Yin, lower diabetes, afternoon fever due to deficiency of Yin, spitting blood and swelling belong to intractable disease and distention of abdomen with gas or fluid belongs to fatal disease. 3. In the case of Taeumin syncope due to chills, dryness-heat, diabetes, pain of chest and abdomen and swelling belong to intractable disease and apoplexy with dosed eyes belongs to fatal disease. 4. In the case of Taeyangin vertebral disease makes flaccidity of lower limbs and dysphagia with vomiting of frothy fluid belongs to fatal disease.

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A fatal case of acute pulmonary embolism caused by right ventricular masses of acute lymphoblastic lymphoma-leukemia in a 13 year old girl

  • Ko, Yu-Mi;Lee, Soo-Hyun;Huh, June;Koo, Hong-Hoe;Yang, Ji-Hyuk
    • Clinical and Experimental Pediatrics
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    • v.55 no.7
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    • pp.249-253
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    • 2012
  • We report a case of a 13-year-old girl with acute lymphoblastic lymphoma- leukemia, who presented with a cardiac metastasis in the right ventricle, resulting in a pulmonary embolism. At the time of her leukemia diagnosis, a cardiac mass was incidentally found. The differential diagnosis for this unusual cardiac mass included cardiac tumor, metastasis, vegetation, and thrombus. Empirical treatment was initiated, including anticoagulation and antibiotics. She underwent plasmapheresis and was administered oral prednisolone for her leukemia. Five days later, she experienced sudden hemodynamic collapse and required extracorporeal membrane oxygenation insertion and emergency surgery. These interventions proved futile, and the patient died. Pathology revealed that the cardiac mass comprised an aggregation of small, round, necrotic cells consistent with leukemia. This is the first known case of acute lymphoblastic leukemia presenting as a right ventricular mass, with consequent fatal acute pulmonary embolism. A cardiac mass in a child with acute leukemia merits investigation to rule out every possible etiology, including vegetation, thrombus, and even a mass of leukemic cells, which could result in the fatal complication of pulmonary embolism.

A Fatal Complication Associated with Combined Posterior Petrous and Suboccipital Approach to a Giant Jugular Foramen Schwannoma - A Case Report - (하후두부 접근법과 후경추체 접근법에 의한 거대 경정맥공 신경초종의 제거술과 동반된 합병증 - 증례보고 -)

  • Koh, Sung-Bum;Koh, Young-Cho;Yoo, Heon;Park, Si-Young;Park, Hyo-IL
    • Journal of Korean Neurosurgical Society
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    • v.30 no.9
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    • pp.1144-1149
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    • 2001
  • Schwannomas of the jugular foramen, originating from the glossopharyngeal nerve, vagus and accessory nerve represent approximately 0.17-0.72% of all intracranial tumor, and consists of 1.4-2.9% of all intracranial schwannomas. The clinical presentation of these tumors varies significantly according to originated nerve and it's growth pattern. Magnetic resonance(MR) image and temporal bone computed tomography(CT) scan have a major role for diagnosis of such tumor. The treatment of choice is total resection whenever possible. Generally, suboccipital approach is sufficient for the removal of the tumor, but in case with large size, combination of resection of petrous part of temporal bone with or without transection of sigmoid sinus is may be necessory. We have recently experienced one case of giant jugular foramen schwannoma and postoperative fatal complication in a 34-year-old male who was treated with combined posterior petrous and suboccipital approach with transection of sigmoid sinus

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Finding on Preventive Intervention of Fatal Occupational Injuries Through Empirical Analysis of Accident Death (사고사망자의 심층적 실증분석을 통한 예방적 개입점 발견 연구)

  • Yi, Kwan Hyung;Rhee, Hong Suk
    • Journal of the Korean Society of Safety
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    • v.34 no.3
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    • pp.83-88
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    • 2019
  • The 7,993 cases of Survey Report of Fatal Industrial Accidents conducted jointly by the MEOL and the KOSHA for the recent seven years(2007-2013) were categorized according to personal and occupational characteristics, industry types, business sizes, job types, activities at the time accident, types of accidents, material agents(assailing materials), unsafe conditions, and unsafe acts. And it is found that among the 72.2 percent of fatal occupational accidents in the construction and manufacturing industries are caused by falling, sticking, bumping and being caught under objects & overturning. For this study, through the empirical analysis on causes of fatal industrial accidents, was used to identity high risk groups based on total data of 7,993 victims of occupational accidents. An annual fatal occupational injury (FOI) rate per 10,000 workers was about 0.47‱. The middle-aged group and the elderly group showed the highest FOI rates per 10,000 workers (0.73‱, 0.80‱), and the daily workers showed the highest FOI rate (1.46‱), and the craft and related trades workers showed the highest FOI rate (2.17‱). In case of industry type the mining industry (7.26‱) showed the highest FOI rate, followed by the sewerage, waste management, materials recovery and remediation activity industry (3.91‱) and the construction industry (2.71‱). The primary high risk target group that requires a strategy designed to reduce fatal occupation injuries caused by falling and bumping & contact(collision) is the construction industry, and the secondary high risk target group in the construction industry is classified as the equipment, machine operating and assembling workers in the construction industry, those aged 50 years old and above need the prevention measures against bumping & contact(collision) and being caught under an object & falling(objects), while those aged less than 50 years old need prevention measures against falling(persons).

Expert System On Advanced load shedding (개선된 부하차단에 관한 전문가 시스템)

  • Kim, Jae-Chul;Kim, Eung-Sang;You, Mi-Bog
    • Proceedings of the KIEE Conference
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    • 1991.07a
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    • pp.354-357
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    • 1991
  • In the case of system operation, a line overload cause damage to spread an whole range of power system. Of the theorems on load shedding, this study applied power distribution theorem and load reduction theorem which are local load shedding method, which are not affected by the magnitude of the power system and need not a large memory capacity and computation time. In this paper, we treat the problem of overload when power system occurred to fatal fault. Especially, there is the special case that local load shedding theorem is not always solved. Therefore, we introduce a solved device of the problem and construct the expert system of expanded local load shedding. Because proposed method uses the merits of expert system, in the case of system operation, the system operator don't embarrass to fatal fault and promptly deals with.

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A rare and unique experience of a blunt intrathoracic traumatic injury of the trachea and its management in South Africa: a case report

  • Rudo Mutsa Vanessa Pswarayi;Anna Katariina Kerola
    • Journal of Trauma and Injury
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    • v.36 no.4
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    • pp.416-420
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    • 2023
  • Blunt intrathoracic tracheal injuries are rare, even among blunt chest trauma patients. An early diagnosis based on a high index of suspicion allows for timely surgical management of potentially fatal airway trauma, thereby improving overall outcomes. Diagnosing these injuries can be difficult due to their nonspecific clinical features and the occasional difficulty in radiologic diagnosis. If a patient exhibits respiratory compromise with difficult ventilation and poor lung expansion, despite the insertion and management of an intercostal drain following high-energy blunt trauma, there should be a heightened suspicion of potential airway trauma. The aim of primary repair is to restore airway integrity and to minimize the loss of pulmonary parenchyma function. This case report discusses the rare clinical presentation of a patient with blunt trauma to the intrathoracic airway, the surgical management thereof, and his overall outcome. Although blunt traumatic injuries of the trachea are extremely rare and often fatal, early surgical intervention can potentially reduce the risk of mortality.

Esophagopericardial Fistula with Cardiac Tamponade - A Case Report (심장압전을 동반한 식도 심낭루: 수술치험 1례)

  • 이상진
    • Journal of Chest Surgery
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    • v.25 no.5
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    • pp.562-565
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    • 1992
  • We experienced a case of esophago-pericardial fistula with cardiac tamponade which was treated successfully by pericardial drainage, closure of the fistula and adequate antibiotic therapy. Esophago-pericardial fistula is rare, often fatal and a demanding surgical emergency. We report a case with review of literatures.

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Fatal Subdural Empyema Following Pyogenic Meningitis

  • Lee, Seok-Ki;Kim, Seok-Won
    • Journal of Korean Neurosurgical Society
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    • v.49 no.3
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    • pp.175-177
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    • 2011
  • Subdural empyema is a rare form of intracranial sepsis associated with high morbidity and mortality. The most frequent cause is extension of paranasal sinusitis through emissary veins or of mastoiditis through the mucosa, bone, and dura mater. Development of subdural empyema after pyogenic meningitis is known to be very unusual in adults. We report a rare case of fatal subdural empyema, an unusual complication of pyogenic meningitis. Our bitter experience suggests that subdural empyema should be borne in mind in patient with pyogenic meningitis who exhibit neurological deterioration.

Fatal Rhabdomyolysis in a Patient with Head Injury

  • Park, Yong Jin;Kim, Seok Won
    • Journal of Korean Neurosurgical Society
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    • v.53 no.5
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    • pp.303-304
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    • 2013
  • Rhabdomyolysis is a rare but potentially life-threatening disorder caused by the release of injured skeletal muscle components into the circulation. The authors report a case of severe head injury, in which a hyperosmolar state and continuous seizure complicated by severe rhabdomyolysis and acute renal failure evolved during the course of treatment resulted in a fatal outcome despite intensive supportive treatment. Our bitter experience suggests that rhabdomyolysis should be born in mind in patients with severe head injury who may develop hyperosmolar state and continuous seizure.