• 제목/요약/키워드: pericardium

검색결과 321건 처리시간 0.026초

인간 치주인대 유래 섬유모세포에 대한 흡수성 교원질 차폐막의 생체적합성 (BIOCOMPATIBILITY OF ABSORBABLE COLLAGEN MEMBRANES IN HUMAN PDL-DERIVED FIBROBLASTS IN VITRO)

  • 권용대;이백수;주성숙
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제32권3호
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    • pp.272-278
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    • 2006
  • Purpose: This study is designed to evaluate biocompatibility of three types of absorbable collagen GBR membrane in vitro. Material and Method: The human PDL fibroblasts culture was obtained through typical way and the cells used in the experiment was forth passage. The membranes examined were Experimental group A, B, C. All the 3-experimental groups were made of bovine pericardium and the membranes were excised into 5$\times$5mm respectively. The samples of the membranes were fixed on the 24-well plate with the double-sided adhesive tape. Then, 2ml of cell suspension which included $2{\times}10^4$cells was inoculated into the 24-well plate, and the cells were cultured for 1 week. Cellular viability and the alkaline phosphatase activity were measured with ELISA. The membranes in the culture were processed to examine with SEM. Results: The survival rate was highest in control and Experimental group A is the next, group B and group C in order of the value. The values are analyzed for statistical difference using Wilcoxon test. All the values of experimental groups are significantly lower than those of control, and the vaules among the experimental groups significantly differ from each other. Alkaline phosphatase level was identical order with the viable cell rate. SEM examination revealed that the PDL fibroblasts adherent on culture dish (control) and group A were spindle-shaped, but on group B and C, the cells were round-shaped without processes.

중피종 환자에 대한 생존분석 - 한 종합병원의 입원환자를 중심으로 - (Survival Analysis of Hospitalized Mesothelioma Patients)

  • 김춘배;정상혁;이경종;강종두
    • Journal of Preventive Medicine and Public Health
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    • 제23권1호
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    • pp.77-86
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    • 1990
  • Between 1977 and 1987, 20 patients with mesothelioma were treated at Severance Hospital. Data was gathered from medical charts at the time of hospitalization of mesothelioma patients and from a follow-up questionnaire by mail or telephone. The results acquired were as follows : 1. Among the 20 patients, 11 men and 9 women with mesothelioma were identified. The mean age at hospitalization was 47 years and 11 mesothelioma patients were known or presumed to be dead during the different observation periods. 2. Only one mesothelioma patient had a definite history of occupational asbestos exposure. 3. The sites of origin of mesothelioma were the pleura(13), peritoneum(2), pericardium(2), mediastinum (2), and pelvis(1). Common symptoms included dyspnea, chest pain, abdominal distension, etc. 4. Pathologically, mesotheliomas were divided into 14 malignant types and 6 benign types ; and histologically, 8 fibrous mesotheliomas and 3 epithelial mesotheliomas were shown. 5. There was a statistically significant difference in survival rate according to pathologic type and smoking status. In the groups with malignant mesothelioma, 50% survival time from first symptoms was 18 months and that from diagnosis was 11 months. Also, 75% survival time from diagnosis was 6 months in the smoking groups and 19 months in the non-smoking groups.

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후 종격동에 발생한 중피낭종 - 1예 보고 - (Mesothelial Cyst of the Posterior Mediastinum - A case report -)

  • 이장훈;권진태;정태은;김미진;이정철
    • Journal of Chest Surgery
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    • 제39권8호
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    • pp.655-658
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    • 2006
  • 중피낭종은 드문 종격동질환으로서 주로 우측 심장횡격막 각에서 잘 발생한다. 그러나 드물게는 비전형적인 위치에서 발생하며 특히 후 종격동에서의 발생은 매우 드물다. 교통사고로 내원한 30세 여자환자에서 우연히 심낭과 척추체 사이의 후 종격동에 위치하는 큰 낭종이 발견되었다. 낭종은 장축이 18 cm에 이르는 매우 큰 크기였으며 주로 좌측 흉강 쪽으로 커져 있었으나 환자는 증상을 호소하지 않았다. 반대측 흉강으로의 박리에 어려움이 있어서 작은 수술창을 동반한 비디오흉강경 수술로 완전 절제를 시행하였다. 장기 관찰에서 재발 없이 경과는 양호하였다.

외상성 횡경막 탈장: 5례 수술 보고 (Traumatic Diaphragmatic Hernia: A Report of 5 Cases)

  • 장순명
    • Journal of Chest Surgery
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    • 제7권2호
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    • pp.163-168
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    • 1974
  • Five cases of traumatic diaphragmatic hernia were repaired in the Department of Thoracic Surgery, Seoul National University Hospital, during the period from 1967 to 1974. The first case, a 14-year aid girl, was diagnosed as diaphragmatic hernia during laparotomy because of jejunal perforation 3 days after traffic accident. Herniated stomach, transverse colon, spleen and left lobe of the liver were repositioned and the diaphragmatic rupture on left posterolateral portion was repaired with two layers of nonabsorbable sutures by transthoracic approach. The second case, a 26-year old man,was diagnosed immediately after traffic accident at a local clinic and transferred to this hospital 24 hours later. Herniated stomach, transverse colon and jejunum were repositioned amd diaphragmatic rupture,about 9 cm in length,from the posterolat.edge to the base of pericardium was sutured in two layers. The third case, a 26-year old man who had stab wound on the left lower lateral chest two years ago,was admitted with sudden abdominal pain and vomiting. Upper gastrointestinal series with barium meal revealed diaphragmatic hernia. The herniated stomach and transverse colon through the defect,about 3.5cm in diameter, at anterolateral portion on the left side,were repositioned and repaired with two layers of nonabsorbable sutures. The forth case, a 26-year old man, sustained blunt trauma to the chest by a roller and was transferred to the emergency room complaining of dyspnea 40 minutes after the accident. The diaphragmatic rupture extended from left midaxillary line to contralateral anterior axillary line,about 20cm long, at anterior portion of diaphragm, which was repaired with two layers, of nonabsorbable sutures. The fifth case, a 4-year old girl, had two separate diaphragmatic ruptures on both sides, which were caused by traffic accident. Immediate upper gastrointestinal series after injury showed herniated stomach, colon and spleen into left Chest cavity. Another small rupture with anterior edge of right lobe of the liver in chest cavity was noted. These were repaired with non-absorbable sutures via thoracotomy.

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폐 모세포종의 외과적 치료 -1례 보고- (Surgical Treatment of Pulmonary Blastoma -A Case Report-)

  • 양수호;김병일
    • Journal of Chest Surgery
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    • 제30권10호
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    • pp.1044-1047
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    • 1997
  • 폐모세포종은 매우 드문 원발성 폐 종양으로 종괴를 구성하는 선상구조나 간엽조직 성분이 미분화된 태생기때 조직으로 구성되어 있는 종양으로 주로 성인 및 소아에서 발생한다. 본교실에서는 단순 흉부 사진에서 우측폐 하엽에 약 5Cm크기의 이상음영을 보이는 31세 남자에 발생한 폐모세포종 1례를 경험하고 이를 보고하고자한다. 수술전 임상 진단은 원발성 페종양으로 생각되었다. 수술 소견상 직경 6$\times$5$\times$4cm 크기의 단단하고 등근 종괴가 우측폐중엽에 국한되어 있었으며 부분적으로 폐상엽, 심막과 횡격막에 부착되었다. 우측 폐중됩 절제술 및 폐상엽 부분절제와 광범위한 임파절 절제를 동반하여 부분적으로 심막과 횡격막을 절제하였다. 병리조직학적으로 이상성 폐모세포종으로 진단되었다. 이상성 폐모세포종의 예후는 분화가 좋은 태아 선암종에 비해 나쁘며 외과적 절제술 이외에 특별한 치료는 없다. 폐모세포종의 임상적 경과 및 예후와 상세한 분류를 위해서는 가능한한 많은 증례를 수집할 필요가 있다고 생각된다.

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자한(自汗)과 수족한(手足汗)에 대한 한의학 및 의학적 고찰 (Different Pathology between General and palms-and-soles hyperhidrosis in Korean Medicine and Medicine)

  • 이욱진;김병수
    • 대한한의학회지
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    • 제41권1호
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    • pp.11-20
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    • 2020
  • Objectives: We noticed that hyperhidrosis can be differentiated by whether it is topical or systemic in both Korean medicine(KM) and Modern medicine(MM). Comparing between topical and systemic sweating, we will figure out similarity between KM and MM about stimuli on sweat. Methods: All research is done by finding information on text-book, article, books. Results: Hyperhidrosis is differentiated by whether it is topical or systemic in both Korean medicine(KM) and Modern medicine(MM). First, systemic sweating(SS) is affected by body temperature. In KM, Heat and Cold(plus yang deficiency) can make human sweat systemically. In MM, heat is also mentioned as stimulus. Second, topical sweating(TS) can occur on emotionally-stressed situation especially on palms-and-soles. In KM, this phenomenon is explained by heart spirit(心神) and disease transmitted by pericardium meridian(手厥陰心包經 是動病). In MM, anatomically hyperhidrosis on palms-and-soles is generated by adrenergic sympathetic nerve which is involved with stress. Third, sweating on palms-and-soles also can be generated by internal organ. In KM, hyperhidrosis on palms-and-soles is explained as illness on stomach meridian(足陽明胃經). The 70% of parasympathetic nerve is vagus nerve which is located at internal organs-usually gastrointestinal tract. In that point, stomach and parasympathetic nerve seem to be involved in hyperhidrosis on palms-and-soles. Conclusion: Hyperhidrosis is differentiated similarly by whether it is topical or systemic in both Korean medicine and Modern medicine. Conserving each perspective of KM and MM, one perspective can be useful to other by supplementing other's weak point.

십이경맥(十二經脈)의 순행가(循行歌)와 경혈가(經穴歌)에 대(對)한 연구(硏究);십이경맥(十二經脈)의 순행(循行) 부위(部位) 및 방향(方向)과 경혈가(經穴歌)의 분류(分類)를 위주로 (Study on the 'poems of prograde' of twelve meridians and 'poems of acupoints')

  • 강동윤;조학준;김호현
    • 대한한의학원전학회지
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    • 제20권2호
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    • pp.61-123
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    • 2007
  • We translated 'poems of prograde' and 'poems of acupoints' which in the poems of acupoints and based on that, We considered the circulating direction and region of twelve meridian comparing the notion in common today with that in the 'poems of acupoints'. Finally, we got the conclusion like below 1. About circulating line of lung meridian, it'll be proper to correct that lung meridian passes through inner edge of biceps brachii muscle like heart and pericardium meridian. 2. On the part of kidney meridian in 'poems of prograde', it's right to be corrected as the circulating line that thru the inner line of vertebrae, enters heart and lung, and scattered tho breast. 3. 'Poems of prograde' can be separated two kinds go by starting-acupoints, ending- acupoints. First is 'poems of prograde' is begun from the end of members and ended in the body. Second is from Jungbu(中府) to Kimun(期門), circulating the members and the body with no ending. 4. On the above, we can find first 'poems of prograde' in "Chimkudaejeon(鍼灸大全)", "YangKyungjechimkujeonso(楊敬齋鍼灸全書)", "Chimkudaeseong(鍼灸大成)", also second can be found in "Neungmunjeonsudonginjihyul(凌門傳授銅人指穴)", "Chimkushinso(鍼灸神書)", "Kumchimbijeon(金針秘傳)", "Kyungrakhoepyun(經絡匯編), "Kyungrakko(經絡考)", "Jungsohoechamdongindosol(重西匯參銅人圖說)", "Kyungrakdoko(經脈圖考)", "ChimkuChuiyoung(針灸聚英)", "Shipsakyoungbalhwee(十四經發揮)", "Jakushimbopyokyul(刺灸心法要訣)", "Yukyoungdoik(類經圖翼)", "Yihakimmun(醫學入門)", etc. 5. Drawing an inference from above, the forms of "Jokbishibilmaek(足臂十一脈)" and "YumYangshibilmaek(陰陽十一脈)" are in "Mawangtoebaekso(馬王堆帛書)", are rather foreforms of circulation line that from the end of members and ended in the body than meridian prograde.

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명당장부도(明堂臟腑圖)에서 기원한 심장도(心臟圖) 29종의 비교 (Comparison of 29 Diagrams of Heart originated from MingTangZangFuTu(明堂臟腑圖))

  • 조학준
    • 대한한의학원전학회지
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    • 제30권3호
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    • pp.55-76
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    • 2017
  • Objectives : The transition of the 29 diagrams of Heart originated from MingTangZangFuTu will be used to understand the shape of heart and the changes of people's understanding of heart. Methods : The 29 diagrams of Heart originated from MingTangZangFuTu are divided according to their shape elements (Heart itself, internal curvatures, structures above heart, wuzangxi, and excursus). Then its transitions are analyzed, and each shape element is compared to modern anatomy and its textual basis is searched. Results : The lengthy cylinderical organ situated above the heart is composed of upper part consisting with joints and the lower part void of joints. The upper part is Pyewan (such as the lungs) and fall into trachea. The lower part is Xinxi or Feixi which are either relative vein (or aorta) or left bronchus that passes behind the heart. This depiction of the structures around the heart can be considered to have composed by actual observance of a physical heart, a method that is similar to anatomy. However, the shape of the heart itself is described as a lotus flower that has not been bloomed, a depiction which finds its origin from Zhongguangbuzhu huangdineijing suwen (762). The three short curvatures inside the heart is described as Pericardium, influenced by Shisijingfahui (1341) in its depiction, or as sammo, influenced by Nanjing. Structures that are connected directly from the heart to spleen, kidney, and uterus are not found in modern anatomy. The saying in Excursus "All cords of five internal organs belong to heart" is based on Huatuoxuanmenneizhaotu, and this is changed to the saying cords of four internal organs belong to heart in Leijingtuyi for the first time. Conclusions : The authors of medical scriptures at the time did not have a method of direct observance when they were copying heart diagrams. Therefore, they made changes to the source material's diagram and excursus while being influenced by Nanjing, Huatuoxuanmenneizhaotu, and Shisijingfahui. Then the doctors' understandings with regards to the shape and function of heart were reflected during that process.

원발성 심막 악성 중배엽 상피종 1예 (A Case Report of Primary Pericardial Malignant Epitheloid Mesothelioma)

  • 정문호;현명수;김영조;심봉섭;김종설;이동협;이철주;강면식
    • Journal of Yeungnam Medical Science
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    • 제3권1호
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    • pp.301-306
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    • 1986
  • 저자들은 1986년 7월 2일 본 영남대학교 의과대학 부속 병원 내과에 입원한 혈액성 심낭 삼출액및 심막 비후 환자에서 심낭 개창술시 심막 조직 검사상 심막 악성 중피종으로 진단되고 급격한 임상 경과를 보이고 사망한 예를 경험하였다.

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강황(薑黃)과 울김(鬱金)의 역대문헌(歷代文獻)에 대(對)한 비교(比較) 연구(硏究) (A comparative study of Curcuma longa L. and Curcuma aromatica S. in medical texts)

  • 김용률;이현정;정현종;금경수
    • 대한한의정보학회지
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    • 제17권1호
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    • pp.203-255
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    • 2011
  • This study covers the historical aspects of the turmeric and curcuma only in detail on the medicinal uses, supported by references to the medical texts. And the result is as follows: 1. Turmeric and curcuma are rhizomatous herbaceous perennial plants of the ginger family, but both produced on the same herb. The rhizome is considered turmeric while the tuber is considered curcuma. 2. Turmeric is the round, oval, or ovate, and scutiform rhizome. 3. Curcuma is yellowish externally, internally more or less orange-yellow passing into reddish-brown. The tuber has a round and cuspidate appearance. The smell is aromatic, somewhat analogous to ginger. 4. Turmeric is somewhat analogous to curcuma in shape, but turmeric is pungent and bitter in taste, warm and intoxious in property, and yellow in color, acting on the spleen and liver channels and governing the gi of the blood while curcuma is pungent and bitter in taste, cold and intoxious in property, red in color, acting on the heart and pericardium channels and governing the blood. 5. Turmeric is referred to zedoary, sliced turmeric, old jaundice, precious aromatic, and ovate rhizoma, and curcuma is referred to radix curcuma, curcuma aromatica, and cicada-belly curcuma

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