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송종훈(Jong Hoon Song),동석호(Seok Ho Dong),김효종(Hyo Jong Kim),김병호(Byoung Ho Kim),장영운(Young Woon Chang),이정일(Jeong Il Lee),장린(Rin Chang),홍성화(Sung Wha Hong),이주희(Ju Hie Lee) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.4
Focal nodular hyperplasia is a benign epithelial tumor of the liver, occuring on noncirrhotic liver. It occurs usually in productive age women, but it is not associated with oral contraceptive use. We should differnentiate it from hepatocellular had not been reported in Korea. We experienced a case of focal nodular hyperplasia without liver cirrhosis of 23 years old woman, and it was confirmed by operation and histologic examination. (Korean J Gastroonterol 1994; 26 : 1034-1040)
송종훈(Jong Hoon Song),홍성화(Sung Wha Hong),동석호(Seok Ho Dong),김효종(Hyo Jong Kim),김병호(Byung Ho Kim),장영운(Young Woon Chang),이정일(Joung Il Lee),장린(Rin Chang),이주희(Ju Hie Lee) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.6
Focal nodular hyperplasia is a benign epithelial tumor of the liver, occuring on noncirrhotic liver. It occurs usually in productive age women, but it is not associated with oral contraceptive use. We should differnentiate it from hepatocellular adenoma or hepatocellular carcinoma, histologically. Focal nodualr hyperplasia had not been reported in Korea. We experienced a case of focal nodular hyperplasia without liver cirrhosis of 23 years old woman. And it was con- firmed by operation and histologic examination. (Koren J Gastroonterol 1994; 26: 1034 1040)
송종훈(Jong Hoon Song),홍성화(Sung Wha Hong),동석호(Seok Ho Dong),김효종(Hyo Jong Kim),장영운(Young Woon Chang),이정일(Joung Il Lee),장린(Rin Chang),이주희(Ju Hie Lee) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.6
An association between the use of oral contraceptives and the development of benign dis- ease of the liver was first suggested by Baum et al. Since then there have been many reports of such an association and there is now firm evidence that the use of oral contraceptives in- creases the incidence of benign liver tumors and particularly of hepatocellular adenoma. But, a definite relationship between the oral contraceptive use and malignant liver tumors has not been established. Since the mid-1970s, there have been many reports of hepatocellular carcino- ma in young women using oral contraceptives. Several abnormal characteristics associated with the pathology and natural history of hepatocellular carcinoma in young users of oral con- traceptives have also been noted. The tumors usually occur in non-cirrhotic livers without raised alpha fetoprotein concentration. This evidence, together with the occasional reports of malignancy progressing from benign adenoma, which is certainly associated with the use of oral contraceptives, suggests that there could be a specific group of liver carcinomas related to oral contraceptives. Hepatocellular adenoma associated with the use of oral contraceptives had been reported in Korea, but hepatocellular carcinoma associated the use of oral contraceptives had not been reported. We experienced a case of hepatocellular carcinoma without liver cirrho- sis, markers of hepatitis infection, excess alcohol consumption, or known hepatotoxins, and it was confirrned by operation and histologic examination.(Korean J Gastroenterol 1994; 26: 1041 1047)
송종훈(Jong Hoon Song),홍기환(Ki Hwan Hong),홍용태(Yong Tae Hong),김은지(Eun Ji Kim) 대한두경부종양학회 2017 대한두경부 종양학회지 Vol.33 No.2
Bronchogenic cysts are congenital malformations of the bronchial tree, a type of bronchopulmonary foregut malformation. The presentation of the bronchogenic cyst is variable, making pre-operative diagnosis difficult. They aremostly asymptomatic orarefound incidentally when the chest is imaged. They can present as lower neck massesor mediastinal masses that may enlarge. They cause mass effect due to local compression and may result in tracheobronchial obstruction leading to air trapping and respiratory distress. The treatment is somewhat controversial, and in general,these lesions are treated using the transcervical or transbronchial approach. When these cysts arelocalized in the upper mediastinum, it may be possible to removethemusing the transcervical approach. In our three cases, the patientscomplained of mild dysphagia, foreign body sensation, and dyspnea. We report three cases of a large bronchogenic cyst in the lower neck and the upper mediastinum treated using the transcervical approach.
송종훈(Jong Hoon Song),김도헌(Do Hern Kim),허준(Jun Hur),전욱(Wook Chun),김종현(Jong Hyun Kim) 대한외과학회 2007 Annals of Surgical Treatment and Research(ASRT) Vol.72 No.1
Purpose: The most common cause of death in massive burn patients is burn wound sepsis. Therefore we have been using allograft skin for preventing burn wound sepsis. Methods: Included in this study were 71 subjects who had sustained extensive burns from December 2003 through February 2006. 1. Early selective Escharectomy was performed for full thickness burn areas. 2. Allograft skins were grafted on excision area. 3. An autograft was performed for areas with a formation of granulation tissue after the allograft skin had come away. 4. A modified sandwich grafting technique (1:4∼6 meshed autograft with Cultured Epithelial Autografts) was performed in large sized burns. 5. Acellular dermal substitute was concurrently used to prevent burn scar contraction on joint areas. Results: Seventy one subjects were included (Fresh allograft: 9 cases, Cryo-preserved allograft: 42 cases, Glycerol preserved allograft: 20 cases). The average burn area was 41.8 (20∼92) %TBSA (Total Body Surface Area). The mean area of the allograft skin used was 26.9 (8∼70) %TBSA. The grafted allograft skins usually came away 3 weeks later. Four cases of initial take failure were occurred. All of these cases were pediatric patients using cadaver skin. Nine patients were dead from heart failure, severe inhalation, respiratory failure, pneumonia in old age, renal failure etc. There was no definite wound sepsis. Cultured Epithelial Autografts (CEAs) were used in fourteen cases. In twentyfive cases, acellular dermal substitute was simultaneously used. Conclusion: Early selective escharectomy, allograft skin coverage, acellular dermal substitutes and wide meshed autograft with CEA application would be immensely helpful techniques in patients with extensive burns.
송종훈(Jong-Hoon Song),장향인(Hyang-In Jang),정학근(Hak-Geun Jeong),서승직(Seung-Jik Suh) 대한설비공학회 2013 대한설비공학회 학술발표대회논문집 Vol.2013 No.11
It is shown that the optical performance of window has a large effect on the amount of energy consumed in a building. However, the amount of energy consumed will change, in case the performance of window isn"t maintained. Therefore, the performance of window due to external pollutants was measured by using Window Energy Profiler. The change of performance was analyzed in the measurement results, and the amount of energy consumed in a building was compared and analyzed by using energy analysis program on the basis of the analyzed results.
중증 화상 환자의 CRRT 시행 시 임상양상과 적절한 적용기준
변광(Kwang Byun),송종훈(Jong Hoon Song),최규성(Gyu-seong Choi),김도헌(Do Hern Kim),허준(Jun Hur),전욱(Wook Chun),김종현(Jong Hyun Kim) 대한외과학회 2007 Annals of Surgical Treatment and Research(ASRT) Vol.72 No.1
Purpose: Acute renal failure is not a rare event in severe burns and the prognosis of a burn patient becomes remarkably unfavorable with the onset of renal insufficiency. Several studies have reported that the incidence of ARF in severe burns is 0.5∼30% and the mortality rate is 73∼90%. This study analyzed the clinical features of severe burns requiring continuous renal replacement therapy (CRRT) to determine the adequate indication for CRRT. Methods: Thirty-nine patients requiring CRRT out of 492 burned patients who were admitted to the burn intensive care unit in the Burn center, Hangang Sacred Heart Hospital from January 2003 to December 2004, were reviewed. CRRT was indicated when azotemia, fluid overload, acidosis, or hyperkalemia were observed. The APACHE Ⅱ score, BUN, creatinine, creatine kinase, bicarbonate and base excess were analyzed at admission and at the initiation of CRRT for the survival group and non-survival group. Results: The incidence of ARF requiring CRRT in severely burned patients was 7.9%. The average of burn area was 51.1%. The mean delay in initiating CRRT was 16.6 days and the mean duration of CRRT was 7.0 days. There was no difference between the survival group and the nonsurvival group in the data obtained upon admission, but there was a significant difference in the BUN level at the initiation CRRT. Therefore, the BUN level at the initiation CRRT has corelation with the mortality. Conclusion: CRRT is helpful for treating severely burned patients who have ARF, particularly those with accompanying with hemodynamic instability. This study showed that the BUN level at the initiation of CRRT associated with mortality. Therefore, the BUN level is an important criterion for initiating CRRT in these patients. However, a prospective randomized control study will be needed to accurately define BUN level.
족부 및 족관절 주위 연부조직 재건을 위한 일단계 역행성 외측 과상부 지방근막 피판술
권부경,정덕환,이재훈,최일헌,송종훈,이성원,Kwon, Boo-Kyung,Chung, Duke-Whan,Lee, Jae-Hoon,Choi, Il-Hoen,Song, Jong-Hoon,Lee, Sung-Won 대한미세수술학회 2007 Archives of reconstructive microsurgery Vol.16 No.2
Purpose: To report the clinical results and efficacies of one stage reverse lateral supramalleolar adipofascial flap for soft tissue reconstruction of the foot and ankle joint. Material and Methods: We performed 5 cases of one stage reverse lateral supramalleolar adipofascial flap from Jan 2005 to Sept 2005. All patients were males and mean age was 50(36~59) years old. The causes of soft tissue defects were 1 diabetic foot, 2 crushing injuries of the foot, 1 open fracture of the calcaneus, and 1 chronic osteomyelitis of the medial cuneiform bone. Average size of the flap was 3.6(3~4)${\times}$4.6(4~6) cm. All flaps were harvested as adipofascial flap and were performed with the split-thickness skin grafts (STSG) above the flaps simultaneously. Results: All flap survived completely and good taking of STSG on the flap was achieved in all cases. There were no venous congestion and marginal necrosis of the flap. In diabetic foot case, wound was healed at 4 weeks after surgery due to wound infection. There was no contracture on the grafted sites. Ankle and toe motion were not restricted at last follow up. All patients did not have difficulty in wearing shoes. Conclusion: The reverse lateral supramalleolar adipofascial flap and STSG offers a valuable option for repair of exposure of the tendon and bone around the ankle and foot. Also one stage procedure with STSG can give more advantages than second stage with FTSG, such as good and fast take-up, early ambulation and physical therapy, and good functional result.