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      • SCOPUSKCI등재

        재팽창 폐부종 치험 2례 보고

        강경민 대한흉부심장혈관외과학회 1995 Journal of Chest Surgery (J Chest Surg) Vol.28 No.1

        Re-expansion pulmonary edema following pneumothorax or hemothorax is clinically uncommon but occasionally life threatening. Clinical details are given of two patients.Ipsilateral pulmonary edema were developed after chest tube insertion due to spontaneous pneumothorax in case I and after evacuation of postoperative hemothorax in case II. The patients were treated with frequent bronchial toilet.The administration of colloid solution and diuretics was effective. The possible mechanisms underlying the edema are discussed.Both increased time of collapse and suction tended to correlate with reexpansion edema.The present two cases provided evidence for longstanding lung collapse and immediate application of suction.

      • SCOPUSKCI등재

        중,하부 식도및 분문에 발생한 식도 종양의 위장을 이용한 식도재건술의 외과적 치험

        강경민,박재홍 대한흉부심장혈관외과학회 1996 Journal of Chest Surgery (J Chest Surg) Vol.29 No.6

        The forty patients with carcirLoma of the esophagus or cardia seen at National Medical Center between November 1983 and April 1994 underwent surgical exploration. The esophagogastrectomy was carried out in 29 of 40 patients, one case through right thoracotomy, the others through left thoracotomy. Two patients underwent colon bypass surgeries due to upper esophageal cancer Transhiatal esop agectomy was performed In one case. Feeding gastrostomy or feeding jejunostomy were performed in 8 patients due to the advanced stage or malnutrition. In this report, we evaluated the long-term results in the 28 patients who underwent esophagogastrectomy for palliation through the left thoracotomy. There were 25 men(89%) and 3 women(11 %), and the mean age was 58.65$\pm$7.15 years(range, 46 to 73 years). The most frequent preoperative symptoms included dysphagia (22), weight loss (15), chest pain (6), vomiting (1), and hoarsness (1). Twenty-three patients had sqamous cell cancers of mid-and lower esophagus and five adenocarcionomas of cardia. One patient died in the hospital within 30 days of the op- eration for a hospital mortality rate of ).7%, Cause of death was sepsis due to anastomotic leakage. There were five additional complications in five patients; acute respiratory distress syndrome (1), post-op- erative bleeding (1), diaphragmatic hernia (1), acute renal failure (1) and late raft stenosis (1). The one year, 1틴o years, and three years acturial survival rate were 75.6$\pm$9.5%, 43.2$\pm$ 11.6%, 21.6: 10.5$\circledcirc$ re- spectively. The average survival was 21.8 months. The data from this study suggest that esophagogastrectomy through the left thoracotomy can achieve resonable long-term palliation for carci- noma of the esophagus. The operation can be performed with a low operative mortality and few serious postoperative complications.

      • SCOPUSKCI등재

        폐의 저악성 점액성 낭종

        강경민,임용택,김철환,이섭,허용,김병열,이정호,Kang, Kyung-Min,Lim, Yong-Taek,Kim, Chul-Hwan,Lee, Seob,Hur, Yong,Kim, Byung-Ryul,Lee, Jung-Ho 대한흉부심장혈관외과학회 1998 Journal of Chest Surgery (J Chest Surg) Vol.31 No.2

        폐의 저악성 점액성 낭종은 보고된 예가 매우 드물며 기관지성 낭종 및 뮤신을 분비하는 기관지폐포암 형태의 선암과 감별이 필요하다. 63 세의 여자환자로서 흉부단순촬영 사진에서 우측 폐하엽에서 종괴가 관찰되었다. 술전 경피생검상에서 기관지폐포암으로 진단되었고 우측 폐하엽 절제술 및 임파절 제거술을 시행하였다. 절제된 폐내에서 다양한 크기의 다발성 낭성 종괴들이 보였고 종괴내에는 점액으로 채워져 있었다. 현미경상에서 낭종은 키가 큰 주상구조의 점액성 상피세포들로 구성되어 있었고 한정된 일부분에서 기관지폐포암양 병소가 관찰되었으나 기관지폐포암과 비교하여 세포의 비정형성(atypism)은 부족하였다. 수술후 환자는 합병증없이 퇴원하였고 12개월 추적관찰에서 재발이나 원격전이 소견은 보이지 않았다. 폐의 저악성 점액성 낭종은 술후 예후가 상당히 좋은 것으로 보고 되고 있으며 폐에서 발생하는 다른 신생물과는 감별이 필요할 것이다. Pulmonary mucinous cystic tumor of borderline malignancy is very rare and distinguished from bronchogenic cyst or adenocarcinoma of bronchoalveolar type. We present the case of a 63-year-old woman with a right lower lobe mass, found by chest radiographs. The preoperative diagnosis was made as bronchoalveolar cancer by percutaneous needle aspiration of mass. Right lower lobectomy and lymph node dissections were performed. The lobectomy specimen contained variable sized multilocular cystic mucous masses, filled with mucus. Microscopically, the cystic masses are lined with tall columnar mucinous epithelium but some area contains focal cellular atypism and bronchoalveolar cancer like foci. This foci are lack of cellular atypism consistent with bronchoalveolar cancer cell. After lobectomy the patient has remained free from recurrence and distant metastasis for following 12 months period. Pulmonary mucinous cystic tumor of borderline malignancy appears to have a favorable prognosis and should be distinguished from other lung neoplasms.

      • KCI등재

        논설 기사 분석을 통한 관형절의 담화·화용적 기능 연구

        강경민 서울대학교 국어교육연구소 2018 국어교육연구 Vol.42 No.-

        The Korean adnominal clauses, which are recognized morphologically by the adnominal endings, can be assumed to have a structure of subject and predicate internally, and function as embedded sentences by modifying following noun. As such, adnominal clause is a grammatical form with a very important position that is constantly taught from beginner to advanced in Korean language education as a method of sentence expansion. Compared to its importance, the contents of the education mainly focus on the teaching of tense and aspectual features, the restrictions in combining predicates and the adnominal endings, and restrictions in combining adnominal clauses and heading nouns. As it is mainly focused on morphological restrictions and error prevention, it is difficult to expect a similar output from foreign learners to Koreans’ usage. In this study, a basic research on the pragmatic use of Korean adnominal clauses in discourse is conducted to develop educational contents and methods from a generative perspective. In order to study the pragmatic functions of adnominal clause in discourse, the 15 editorial articles which express a personal opinion were analyzed and 12 pragmatic functions were found in dimensions of reference, context and text construction. 한국어의 관형절은 대개 관형사형 어미에 의해 인식되는 형태적 특징을 보이며 통사적으로는 주어와 서술어를 포함하는 절의 구성을 이루며 후행하는 명사를 수식하는 기능을 갖고 있다. 관형절은 문장을 확대하는 방법 중 하나인 복합문을 구성하는 성분으로 기능하며 언어 능력이 발달해 감에 따라 사용 빈도도 높아진다. 이에 따라 한국어교육에서는 초급부터 고급에 걸쳐 지속적으로 교수되는, 매우 중요한 문법 항목이다. 이러한 중요도에 비해 그 교육 내용은 대체로 관형사형 어미로 의미되는 관형절의 시제와 상적인 특징과 서술어와 관형사형 어미의 결합 제약, 표제 명사와 관형절의 결합 제약 등을 가르쳐 형태적 오류를 양산하지 않도록 하는 데 집중되어 있다. 즉, 형태론적 제약과 오류 방지에 치중되어 있다 보니 보다 생성적인 교육은 이루어지지 않아 한국인의 언어생활에서는 관형절이 매우 빈번하게 쓰이는데도 불구하고 외국인 학습자에게서는 그에 준하는 출력을 기대하기 어려운 형편이다. 이에 본고에서는 학습자들에게 한국어 관형절의 사용을 언어 생성적인 차원에서 접근하여 한국인의 실제 언어생활에서 관형절은 어떤 쓰임으로 나타나는지를 연구하기 위해 개인적인 견해와 입장을 피력하는 글인 논설 기사 15편을 분석하여 한국어 관형절의 담화·화용적 기능을 지시적 차원과 맥락적 차원, 그리고 텍스트 구성적 차원에서 총 12가지 기능이 나타나는 것으로 정리하였다.

      • KCI등재

        A Case of Alternaria alternata Keratitis Isolated from Corneal Tissue

        강경민,김홍균,이해숙,송경은,이상한,이원주,이원길 대한의진균학회 2015 대한의진균학회지 Vol.20 No.2

        A 71-year-old man presented with pain in the left eye that revealed a 3×3 mm deep corneal stromal infiltrate, with a 2×2 mm epithelial defect. The patient started topical moxifloxacin, voriconazole 2%, and natamycin for 2 weeks. However, the treatment was not effective and the corneal infiltration worsened. Subsequently, the patient underwent therapeutic penetrating keratoplasty. Thick brown/gray mold colonies on Potato Corn Meal Tween 80 agar was isolated from excised corneal tissue and on slide culture many septated, and club-shaped ascospores were revealed. Histological findings also showed numerous hyphae scattered in corneal tissue. A. alternata colonies were confirmed by 18S rRNA sequencing. Intracameral voriconazole was injected every other day for 2 weeks to eliminate remaining fungi on the deep corneal stroma. The remaining corneal infiltration was improved one month after the injection. During 5 months postoperative follow up, the infection did not recurred. In conclusion, deep corneal infection of A. alternata was effectively treated with intracameral voriconazole injection.

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