http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
변장열 ( Jang Yul Byun ),이재용 ( Jae Yong Lee ),정수호 ( Soo Ho Chung ) 대한폐경학회 2012 대한폐경학회지 Vol.18 No.1
폐경이후 여성에서 수면관련 호흡장애의 빈도는 증가한다. 여성호르몬의 감소와 체중의 증가에 따른 상기도의 폐쇄로 인해 수면의 단절이 발생하게 된다. 폐경 후 수면에 어려움을 겪는 여성에서 다른 수면장애와의 감별이 필요하며 수면관련 호흡장애가 의심되면 정확한 진단과 치료가 필요하다. 정확한 병력청취와 자세한 이학적 검사를 통해 예측이 되면 수면다원검사를 시행하게 되며 이를 통해 진단을 하게 된다. 또한 폐쇄부위 결정을 위한 여러 가지 검사를 시행하게 된다. 치료는 비수술적 치료와 수술적 치료법으로 크게 나뉘며, 환자의 선호도, 연령, 임상 검사 소견과 생활 환경 등의 사회적 여건을 고려하여 신중히 선택해야 한다. Women after the menopause appear to be more susceptible to sleep related breathing disorders (SBDs). The increased prevalence of SBDs in postmenopausal women may be related to weight gain and the decline in female sex hormones levels. These conditions may cause upper airway obstruction, which can result in sleep disruption. Other sleep disorders, such as insomnia, depression, and fi bromyalgia must be ruled out with SBDs in postmenopausal women with sleep diffi culties. Once SBD is strongly suspected through medical history and precise physical examinations, polysomnogram is required for confi rmatory diagnosis. In addition, other examinations besides polysomnogram should be performed to detect obstructed regions. Treatment of SBD can be classifi ed into surgical method and non-surgical method. Treatment options must be carefully selected by considering the patient`s clinical examinations, patient`s preference, age and life style.
세침흡인검사 후 호흡곤란을 동반한 일측성 갑상선 혈종 2례
고윤우(Yoon Woo Koh),권계원(Kye Won Kwon),변장열(Jang Yul Byun) 대한두경부종양학회 2007 대한두경부 종양학회지 Vol.23 No.1
Fine needle aspiration biopsy(FNAB) has been used for many decades in the diagnosis of benign and mal-ignant tumors of thyroid gland. Complications of thyroid fine-needle aspiration biopsy(FNAB) are extremely rare. Hematoma formation is the most commonly encountered complication. However, massive intrathyroid uni-lateral hemorrhage and hematoma formation inducing upper airway distress rarely occurs. Here, we report two cases diagnosed as having hematoma that caused upper airway distress after FNAB for thyroid nodule.
고윤우(Yoon Woo Koh),이종대(Jong Dae Lee),변장열(Jang Yul Byun),이재용(Jae Yong Lee) 대한두경부종양학회 2004 대한두경부 종양학회지 Vol.20 No.2
Neuroendocrine carcinomas are rare neoplasms of the hypopharynx. Neuroendocrine neoplasms are divided into four main types : carcinoid, atypical carcinoid, small cell carcinoma and paraganglioma. The diagnosis is primarily based on light microscopy and should be confirmed by immunohistochemical investigation. Small cell neuroendocrine carcinoma of the hypopharynx is extremely uncommon tumor and surgical results for this tumor have been disappointing. Chemotherapy and radiotherapy currently appear the most effective forms of therapy. We report our case of small cell neuroendocrine carcinoma of the hypopharynx with the brief review of literatures.