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- 저자 : 정상석 ( Sang Seok Jeong ) (검색결과 4 건)
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Pure esophageal atresia. 2 case
정상석,최필조,박권재,방정희,조광조,우종수,정진아,Jeong, Sang-Seok,Choi, Phil-Jo,Park, Kwon-Jae,Bang, Jung-Hee,Cho, Gwang-Jo,Woo, Jong-Soo,Jung, Jin-A 대한기관식도과학회 2008 大韓氣管食道科學會誌 Vol.14 No.1
Pure esophageal atresia without tracheoesophageal fistula is a uncommon form of congenital malformation of the esophagus, which is able to be suspected by fetal ultrasonograpy before delivery and diagnosed definitely by simple chest X-ray and esophagogram immidiately after delivery. We performed delayed primary repair in 2 cases of pure esophageal atresia by using stomach for conduit in one case and colon in the other case. But there were graft failure in the latter case, so reoperation was performed by using stomach. Postoperatively, two patients showed no stenosis and leakage in anastomotic site and were discharged in good oral intake without dysphagia.
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식도암의 근치적 식도 절제술 후 폐합병증의 발생에 영향을 미치는 위험인자의 임상적 분석
최필조,정상석,Choi, Phil Jo,Jeong, Sang Seok 대한기관식도과학회 2011 大韓氣管食道科學會誌 Vol.17 No.2
Purpose Pulmonary complications continue to be the major cause of morbidity and mortality after esophageal resection. The aim of this study was to compare and analyze retrospectively the factors which effect for postoperative pulmonary complications in patients who underwent curative resection for esophageal cancer. Material and Method A total of 118 patients were enrolled in the study from January 1994 to March 2009, and patients with previous neoadjuvant chemotherapy or radiotherapy were excluded. Of the total 118 patients, 27 patients developed pulmonary complications within 30 days of their operation. the factors which effect for postoperative pulmonary complications were compared and analyzed. Results There were 7 patients in-hospital deaths. 51 patients (43.2%) developed complications, and of them, the most common complication was pulmonary complication and occurred in 27 patients (22.9%). In univariate analysis, diabetes mellitus, cervical anastomosis through the retrosternal route, old age and poor lung function were risk factors contributing to postoperative pulmonary complications (p<0.05). In multivariate analysis, statistically significant factor was old age (65 years or older). Conclusion Clinical factor for the pulmonary complications after esophagectomy of esophageal cancer was significantly associated with diabetes mellitus, cervical anastomosis through the retrosternal route, old age (65 years or older) and poor lung function (FEV1<80%). Of these, old age was the most significant factor.
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김은영 ( Eun Young Kim ),박종성 ( Jong Sung Park ),전동섭 ( Dong Sub Jeon ),정상석 ( Sang Seok Jeong ),박권재 ( Kwon-jae Park ),우종수 ( Jong Soo Woo ),강은주 ( Eun-ju Kang ) 대한내과학회 2016 대한내과학회지 Vol.90 No.6
35세 남자가 피로감 및 호흡곤란으로 병원에 왔다. 청진상확장기 심장잡음이 들리고 심전도 및 흉부 X선 검사에서 좌심실비대 소견이 보였다. 가슴 경유 심초음파 검사에서 좌심실 기저부의 하벽에 지름 11 mm 크기의 심근 결손 부위가보였고 우관상동맥으로 보이는 확장된 혈관구조물로부터 심근 결손 부위를 통해 좌심실 내로 유입되는 확장기 혈류가보였다. 식도 경유 심초음파 검사에서 최대 지름 17 mm의 확장된 우관상동맥이 보였다. 관상동맥 컴퓨터단층촬영 조영검사에서 거대 관상동맥류를 동반한 우관상동맥이 좌심실기저부의 좌심실 벽 결손부를 통해 좌심실과 연결되어 있음을 확인한 후 거대 관상동맥류를 동반한 우관상동맥-좌심실누공으로 진단하였다. 관상동맥류를 동반한 우관상동맥-좌심실 누공은 드물게 보고되는데, 좌심실의 용적 과부하로 인한 울혈성 심부전 발생의 위험성과 거대 관상동맥류의 자연적 파열 위험성을 고려하여 수술적으로 우관상동맥을 폐쇄하기로 하였다. 개흉술을 시행하여 우관상동맥의 입구와 우관상동맥-좌심실 누공 부위를 소심장막패치를 덧대어 봉합하고 우관상동맥을 결찰하였다. 우관상동맥에서 갈라져 나오는 지름이 큰 동맥가지들이 없어 심근경색을 예방하기 위한 관상동맥 우회로조성술을 시행하지 않기로 하였다. 환자는 수술 관련 합병증 없이 퇴원하였고 증상의 재발 없이 추적관찰 중이다. 저자들은 임상에서 접하기 힘든 증상을 동반한 우관상동맥-좌심실 누공의 영상 진단 및 수술적 치료 과정을 문헌고찰과 함께 보고하는 바이다. A 35-year-old male with exertional dyspnea was transferred to our hospital for evaluation of a diastolic murmur and cardiomegaly discovered by chest X-ray. Two-dimensional and Doppler echocardiographic studies revealed an aneurysmal dilation of the right coronary artery (RCA) and diastolic inflow from the RCA to the left ventricle (LV) through a myocardial defect 11 mm in diameter in the basal inferior LV wall. Coronary computed tomography angiography (CCTA) confirmed the presence of a giant RCA to LV fistula. Due to the risks for developing overt left heart failure and spontaneous rupture of the giant RCA, the RCA was obliterated surgically. Coronary-cameral fistulas are a rare congenital coronary artery anomaly. A fistula between the coronary artery and LV, especially when combined with coronary artery aneurysm, is a rare occurrence in the literature. Here, we report a case of a giant RCA to LV fistula detected by echocardiography and CCTA. (Korean J Med 2016;90:518-523)
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鄭相石 한국고대사학회 2001 韓國古代史硏究 Vol.22 No.-
Regardless of where or by what criteria state-level societies formed, scholars have proposed many ideas about this topic. Presently the trend of the use of juxtaposed 'state' (國) or 'chiefdom-polity' ('walled-town' or 小國) concepts to understand the formation of state-level society is quite common. Yet studies characterizing the signs of early state formation are lacking. War and conflict are inevitable in the formation of political power. In the early stages of state formation, the above circumstances, well-established long-distance trade, and the leadership of individuals seem to be important factors. In this stage the Chinese mainland -derived Do-style bronze dagger has an important dual-function as a weapon and item of exchange. The Do-style bronze dagger characterizes the cultural stage between the Third and Second centuries D.C. In the political landscape of the Early Iron Age, the Slim Bronze Dagger is distributed in and forms an important part of the culture in the Pyeongyang area. The Slim Dagger also plays an important role in the growth of culture in the Geum-river area, especially around Iksan. During the period between the Third and Second centuries B.C., this area saw the development of Slim Dagger culture, close-range exchange, and the inflow of foreign goods from long-distance trade. The superiority of bronze weaponry from this area may indicate the predominance of the Iksan area leading up to the formation of political power in Geonmaguk(乾馬國) between the Third and Second centuries B.C. These factors mark cultural predominance of and the difference between the formation of Geonmaguk and the subsequent 54 Mahan(馬韓) polities.
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