선천성엽성폐기종 - 1례 보고 -

홍장수,박주철,김종환,Hong, Jang-Soo,Park, Ju-Cheol,Kim, Jong-Hwan 대한흉부심장혈관외과학회 1977 Journal of Chest Surgery (J Chest Surg) Vol.10 No.1

Congenital lobar emphysema is one of the many causes of the respiratory distress syndrome in infant and an unusual condition barely mentioned before 1949, and only 166 cases were reported till 1967 in English literature This report describes a one-month-old boy who had a congenital middle lobar emphysema. The middle lobectomy was the operation for this case with complete cure.

동맥간(動脈幹) 1례(例) 보고(報告)

홍장수,박주철,노준량,김종환,서경필,이영균,Hong, Jang Soo,Park, Joo Chul,Rho, Joon Ryang,Kim, Chong Whan,Suh, Kyung Phil,Lee, Yung-Kyoon 대한흉부심장혈관외과학회 1976 Journal of Chest Surgery (J Chest Surg) Vol.9 No.2

Truncus arteriosus is a rare and highly lethal cardiac anomaly characterized by a single arterial trunk emerging from the heart and supplying the coronary, systemic, and pulmonary circulations, The first successful correction of truncus arteriosus was reported by McGoon et al. in 1968 and was based on experimental work reported by Rastelli et al. in 1967 in which a conduit consisting of a homograft of the ascending aorta and aortic valve was used to establish continuity between the right ventricle and the pulmonary arteries, Modification of this procedure using a Dacron tube valved with porcine xenograft instead of a homograft have resulted in the current definite treatment for truncus arteriosus. This report describes an 3 years and 4 months old boy with heart failure from type I truncus arteriosus who was diagnosed as the V. S. D. with pulmonary hypertension preoperatively and underwent corrective surgery employing the Rastelli procedure using a Dacron conduit valved with canine xenograft, but died due to massive bleeding from the anastomosis sites in operating room.

Achalasia 의 치험 4예

한균인,홍장수,이영,Han, Kyun-In,Hong, Jang-Soo,Lee, Young 대한흉부심장혈관외과학회 1983 Journal of Chest Surgery (J Chest Surg) Vol.16 No.4

총폐정맥환류이상:3례 수술 보고

안혁,홍장수,노준량,이영균,Ahn, Hyuk,Hong, Jang-Soo,Rho, Joon-Ryang,Lee, Yung-Kyoon 대한흉부심장혈관외과학회 1981 Journal of Chest Surgery (J Chest Surg) Vol.14 No.1

Total anomalous venous return defines a group of congenital heart disease which have in common the entire pulmonary venous drainage returning directly or indirectly to the right atrium instead of to the left atrium. Despite of recent advance in treatment, this severe malformation in its various anatomical forms has a high surgical mortality during early infancy. Because of the high mortality in the untreated infant and the surgical risk in the first year of life, the timing of the operation remains important for optimal result. Three cases of T APV R, two supracardiac types and one mixed type, were treated with extracorporeal circulation during last three years in the Dept. of Thoracic and Cardiovascular Surgery, Seoul National University Hospital. The first one was 10 months old male with supracardiac type which drained through left innominate vein, and he was operated with profound hypothermia and total circulatory arrest but failed. The second case was 7 years old male with supracardiac type drained through left innominate vein, and he was well post operatively, and followed periodically for 12 months. The third case was 24 years old female with mixed type drainage (left upper pulmonary vein drained through left innominate vein, and the others through coronary sinus) was successfully corrected, and she was followed for 4 month without problem. All cases were diagnosed with cardiac catheterization and angiocardiogram, and also with echocardiogram in last two cases. In first two cases of supracardiac type, total circulatory arrest was used in brief period during anastomosis between common pulmonary venous trunk and left atrium. In the last case of mixed type, usual cardiopulmonary bypass with moderate hypothermia was used and total circulatory arrest was not needed.

폐암발생의 위험인자로서 흡연과 Paraoxonase 1 유전자 다형성

이철호 ( Chul Ho Lee ),이계영 ( Kye Young Lee ),홍윤철 ( Yun Chul Hong ),최강현 ( Kang Hyeon Choe ),김용대 ( Yong Dae Kim ),강종원 ( Jong Won Kang ),김헌 ( Heon Kim ),홍장수 ( Jang Soo Hong ) 대한결핵 및 호흡기학회 2005 Tuberculosis and Respiratory Diseases Vol.58 No.5

연구노트 : 충청북도 일부 폐광산 지역 주민의 만성 납 노출 정도 평가

송선호 ( Sun Ho Song ),엄상용 ( Sang Yong Eom ),김용대 ( Yong Dae Kim ),김헌 ( Heon Kim ),홍장수 ( Jang Soo Hong ) 한국환경과학회 2010 한국환경과학회지 Vol.19 No.4

망치지 기형을 동반하는 무지 외반증에 대한 수술적 교정치료

홍장수, 김동호, 조병기 충북대학교 의과대학 충북대학교 의학연구소 2014 忠北醫大學術誌 Vol.24 No.1

연구목적: 무지 외반증에 대한 수술 전 계획시 동반된 망치지 기형을 어떻게 치료할지를 결정해야 하 나, 교정수술의 필요성이나 치료 결과 등에 대해서는 현재까지 명확한 지침이 제시되지 않았다. 이에 저자들은 무지 외반증 및 동반된 망치지 기형에 대한 수술적 교정치료 후의 임상 결과를 분석하여, 망 치지 교정 수술의 유용성을 알아보고자 하였다. 대상 및 방법: 무지 외반증 및 동반된 망치지 기형으로 수술적 교정치료를 받은 환자들 중 최소 1년 이상 추시가 가능하였던 28례를 대상으로 하였다. 임상적 결과의 평가는 미국족부정형외과학회 (AOFAS)의 전족부 점수를 이용하였고, 무지와 소족지를 분리하여 각각의 통증 점수, 환자의 주관적 만족도를 측정하였다. 방사선학적 평가로 제1-2 중족골간 각 및 무지 외반각의 변화, 소족지의 정렬상 태, 술 후 골유합까지의 기간을 측정하였다. 또한 망치지 기형에 대한 술 전의 환자관심도, 수술 만족 도에서 차지하는 비중, 합병증 발생율 등을 분석하였다. 결과: AOFAS 점수는 술 후 최종 추시 시 93.2점으로 유의하게 호전되었으며, 무지 및 소족지의 통 증 점수도 1.1점, 0.6점으로 각각 호전되었다. 방사선 검사상 무지외반각 및 제1-2 중족골간 각은 술 후 최종 추시 시 14.6도, 10.2도로 유의하게 호전되었다. 절골부 골유합까지의 기간은 평균 7.8주 였 으며 모든 예에서 골유합을 얻었다. 망치지 기형에 대한 술 전의 환자관심도는 무지의 통증, 무지 기형 의 교정에 이어 3번째 희망 사항인 것으로 조사되었다. 최종 추시 시 환자의 주관적 만족도는 평균 93.4점 이었고, 이 중 망치지 교정수술에 대한 만족도가 차지하는 비중은 평균 29.8% 였다. 결론: 망치지 기형과 동반된 무지 외반증에 대한 교정수술은 양호한 임상 결과를 보였다. 망치지 기형 의 교정에 대한 환자 관심도와 만족도가 높은 편이며, 한번의 교정수술을 통해 전족부의 정렬상태를 효 과적으로 교정함으로써 효율적인 체중분산 및 통증완화, 보행 기능의 향상, 미용적인 만족도를 최대화 하는 효과적인 치료법이라고 생각된다.

흉선암종 1례

홍장수,홍종면,노윤우,이조한,안재호 충북대학교 의과대학 충북대학교 의학연구소 1995 忠北醫大學術誌 Vol.5 No.2

흉선암종은 전상종격등에 드물게 발생하는 예후가 매우 불량한 질환으로 흉선종과는 다른 독특한 병리조직학적 및 임상적 특징을 갖는다. 환자는 31세 여자로 우측흉부불쾌감을 주소로 내원하였다. 흥부전산단층촬영상 전상종격동에 4×4cm정도의 종괴가 있었으며 양측 폐에 경계가 비교적 좋은 결절들이 산재되어 있었다. 비료를 위해 전상종격동의 종괴와 비교적 큰 우상엽의 결절을 제거하였으며, 병리조직학적검사상 흉선암종 중 편평상피암으로 확인되었다. 환자는 술후 cisplatin based combination chemotherapy(cisplatin, cytoxan and adriamycin)를 받고 있으며 현재 내과 외래로 추적관찰중이다. Thymic carcinomas are rare neoplasms of the anterior mediastinum. These tumors have extremely poor prognosis and distinct pathologic and clinical characteristics. We have experienced one case of thymic carcinoma with pulmonary metastasis. The patient was a 31-year-female, complaining of right chest discomfort. Total thymectomy with resection of the pulmonary nodule of the RUL was done. The pathological diagnosis was thymic squamous carcinoma. The patient received the cisplatin based combination chemotherpy with cisplatin, cytoxan, and adriamycin. The patient is now follow- up in IM -OPD.

기관지 확장증의 임상적 연구

홍장수 충남대학교 의과대학 지역사회의학연구소 1982 충남의대잡지 Vol.9 No.2

The incidence of bronchiectasis has been drastically decreased with the advent of antibiotics in developed country, however, in our country, it is still one of common diseases in thoracic surgical field. The author reviewed 24 cases of bronchiectasis treated at the department of thoracic surgery, Chungnam National University Hospital from January, 1976 to August, 1982 and the following observations were obtained. 1. The peak age incidence of admission was third decade and approximately 62.5% of 24 cases occurred in patients less than 30 years of age. 2. In half cases, the etiologic factors were found as childhood pulmonary infections (37.5%) and pulmonary tuberculosis(12, 5%) 3. Bronchography revealed that in 71.4% of 21 cases the left lung was involved and in 95.2% of them the lower lobe was involved. 4. There was no operative death. The operative complications were 1 case of pneumonia and 3 cases of broncho-pulmonary fistula and/or empyema(20%). We followed up all operative cases at out patient department at least 3 months after discharge and they showed complete relief of symptoms in unilateral cases and marked improvement in bilateral cases.

체-폐동맥 단락술 후 완전교정을 실시한 활로씨 4징증의 임상고찰

홍장수,김명인 충남대학교 의과대학 지역사회의학연구소 1989 충남의대잡지 Vol.16 No.2

Four cases staged management were studied among the 45 patients of tetralogy of Fallot which were treated in Department of Chest Surgery in Chungnam National University Hospital between January 1983 and May 1989. Two male patients were children, and remain two patients were adult female. Total six shunt procedures were performed. In one patient Waterston-Cooley shunt, in one patient classical Blalock-Taussing shunt, in two patients modified and classical Blaock-Taussing shunt were carried out. The causes of second shunt operation was inadequte pulmonary arborization and small left ventricle. Three cases postshunt heart failure were noted, postoperative bleeding and pleural effusion in one case, and pulmonary artery deformity was noted in one case of Waterston-Cooley shunt procedure. But there was no operative death after shunt operation. The total correction was done mean 15.75 months later after initial shunt procedure. One case pulmonary valvotomy and three cases valvectomy were performed. The right ventricle outflow tract was reconstructed using bovine pericardial patch. There was no operative mortality after total correction.