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미만성 거대 B형 세포 림프종 환자에서 CHOP 항암 치료와 Filgrastim 투여 후 발생한 폐쇄세기관지기질화폐렴 1례
정우영 ( Wou Young Chung ),변민광 ( Min Kwang Byun ),이진형 ( Jin Hyoung Lee ),한창훈 ( Chang Hoon Hahn ),강신명 ( Shin Myung Kang ),김진석 ( Jin Seok Kim ),조상호 ( San Ho Cho ),김영삼 ( Young Sam Kim ),김세규 ( Se Kyu Kim ),장 대한결핵 및 호흡기학회 2005 Tuberculosis and Respiratory Diseases Vol.59 No.5
김영삼 ( Young Sam Kim ),변민광 ( Min Kwang Byun ),정우영 ( Wou Young Jung ),정재희 ( Jae Hee Jeong ),최상봉 ( Sang Bong Choi ),강신명 ( Shin Myung Kang ),문지애 ( Ji Ae Moon ),한숙정 ( Suk Jung Han ),남정모 ( Chung Mo Nam ),박무 대한결핵 및 호흡기학회 2006 Tuberculosis and Respiratory Diseases Vol.61 No.2
연구배경: 만성폐질환 환자에서 삶의 질을 측정하는 도구로서 세인트조지 호흡기 설문(St George`s Respiratory Questionnaire;SGRQ)이 개발되어 치료효과를 판정하는 측정지표로 널리 사용되고 있으나 영어권국가에서 만들어 졌기 때문에 우리나라에서 동일하게 사용하는데 제한점을 가지고 있다. 따라서 이의 정확한 적용을 위해서 언어, 기술, 개념적인 관점을 고려하여 한국어 설문지를 만들고 이들의 타당도와 신뢰도를 평가하였다. 방법: 한국판 세인트조지 호흡기 설문은 번역, 역번역, 전문가 패널의 수정을 통해 완성되었고, 세브란스병원 호흡기내과를 방문한 환자를 대상으로 하여 이 설문을 시행하였다. 신뢰도 검정은 Cronbach`s α를 구하여 측정하였고 타당도는 폐기능검사, 6분보행검사, 호흡곤란지수와 산소포화도 검사를 동시에 시행하여 설문 검사결과와의 상관관계를 알아보았다. 결과: 74명의 환자를 대상으로 시행하였으며, 남녀 비는 2.2:1, 평균연령은 63.8±10.3세였다. 이 중 천식환자는 27명(36.5%), 만성폐쇄성폐질환 환자는 39명 (52.7%)이었고, 결핵에 의한 파괴 폐환자는 8명(10.8%)이었다. Cronbach`s α 값은 증상영역, 활동영역, 영향영역 및 총 점수에서 각각 0.63, 0.87, 0.89, 0.92 이였다. 총점수와 FEV1, FVC, 6분보행거리, 산소포화도, 호흡곤란지수와 유의한 상관관계를 보였다. 결론: 한국어판 세인트조지 호흡기 설문은 만성폐질환 및 천식과 같은 만성폐질환 환자에서 신뢰도가 높았고 총점수와의 상관관계는 6분보행검사 및 산소포화도에서 높음을 알수 있었고 폐기능 검사와의 상관계수는 원저인 세인트조지 호흡기설문 및 타 국가의 번역본 호흡기설문에서와 같이 높지 않음을 알 수 있었다. 따라서 우리나라에서도 호흡기질환의 삶의 질에 대한 치료효과 판정에 활용할 수 있을 것으로 기대된다. Background: The health-related quality of life (HRQL) for patients with chronic respiratory disease has been emphasized, because chronic respiratory disease (CRD) is chronic and progressive, and it finally causes disability. HRQL instruments may be useful for monitoring patients` progress or for determining the most appropriate choice of treatment. We describe the adapting St George`s Respiratory Questionnaire (SGRQ), which is a self-administered questionnaire developed by Jones et al. (1991), into the Korean version for covering three domains of health for the patients suffering with airways disease. Method: We obtained the original SGRQ from the author after gaining permission. For adaptation, we created an expert panel and translated the original questionnaire into Korean language. The translated questionnaire was then back-translated by bilingual experts and we compared it with the original questionnaire. After correction and feasibility testing, 74 patients with chronic respiratory disease (COPD, asthma, destroyed lung) completed the Korean version of the SGRQ. The clinical status of each patients was evaluated concurrently with measurement of their health status. Result: The Korean version of the SGRQ was acceptable and easy to understand. Cronbach`s alpha reliability coefficient was 0.92 for the overall scale and 0.63 for the Symptoms, subscale, 0.87 for the Activity, subscale, and 0.89 for the Impacts subscales. The correlation coefficients between the overall score and the Borg scale score, oxygen saturation, and forced expiratory volume in one second (FEV1) were 0.52, -0.32 and -0.26, respectively. These results support that the Korean SGRQ was correlated with other measurements. Conclusion: The Korean SGRQ was reliable and valid for patients with chronic respiratory disease, such as COPD, asthma, and destroyed lung. The SGRQ score was well correlated with other respiratory measurements as well. Although further studies should complete the adaptation work, our results suggest that the SGRQ may be used in Korea and also for international studies involving Korean CRD patients. (Tuberc Respir Dis 2006; 61: 121-128)
급성 폐손상 환자에서 Adaptive Support Ventilation 적용 시 호흡지표의 양상
이규성 ( Keu Sung Lee ),정우영 ( Wou Young Chung ),정윤정 ( Yun Jung Jung ),박주헌 ( Joo Hun Park ),신승수 ( Seung Soo Sheen ),황성철 ( Sung Chul Hwang ),박광주 ( Kwang Joo Park ) 대한결핵 및 호흡기학회 2011 Tuberculosis and Respiratory Diseases Vol.70 No.1
Background: Adaptive support ventilation (ASV), an automated closed-loop ventilation mode, adapts to the mechanical characteristics of the respiratory system by continuous measurement and adjustment of the respiratory parameters. The adequacy of ASV was evaluated in the patients with acute lung injury (ALI). Methods: A total of 36 patients (19 normal lungs and 17 ALIs) were enrolled. The patients` breathing patterns and respiratory mechanics parameters were recorded under the passive ventilation using the ASV mode. Results: The ALI patients showed lower tidal volumes and higher respiratory rates (RR) compared to patients with normal lungs (7.1±0.9 mL/kg vs. 8.6±1.3 mL/kg IBW; 19.7±4.8 b/min vs. 14.6±4.6 b/min; p<0.05, respectively). The expiratory time constant (RCe) was lower in ALI patients than in those with normal lungs, and the expiratory time/RCe was maintained above 3 in both groups. In all patients, RR was correlated with RCe and peak inspiratory flow (rs=-0.40; rs=0.43; p<0.05, respectively). In ALI patients, significant correlations were found between RR and RCe (rs=-0.76, p<0.01), peak inspiratory flow and RR (rs=-0.53, p<0.05), and RCe and peak inspiratory flow (rs=-0.53, p<0.05). Conclusion: ASV was found to operate adequately according to the respiratory mechanical characteristics in the ALI patients. Discrepancies with the ARDS Network recommendations, such as a somewhat higher tidal volume, have yet to be addressed in further studies.
골수이식 후 만성 이식편대숙주질환으로 발생한 폐쇄성 세기관지염에 의한 이차성 재발성 기흉 1례
안철민 ( Chul Min Ahn ),황상연 ( Sang Yun Hwang ),변민광 ( Min Kwang Byun ),이진형 ( Jin Hyoung Lee ),정우영 ( Wou Young Chung ),문진욱 ( Jin Wook Moon ),박무석 ( Moo Suk Park ),민유홍 ( Yoo Hong Min ),김세규 ( Se Kyu Kim ),장준 대한결핵 및 호흡기학회 2004 Tuberculosis and Respiratory Diseases Vol.57 No.2
이찬주 ( Chan Joo Lee ),최준정 ( Jun Jeong Choi ),전한호 ( Han Ho Jeon ),정경수 ( Kyung Soo Jung ),박병훈 ( Byung Hoon Park ),박선철 ( Seon Cheol Park ),신상윤 ( Sang Yun Shin ),정우영 ( Wou Young Chung ),변민광 ( Min Kwang Byu 대한결핵 및 호흡기학회 2008 Tuberculosis and Respiratory Diseases Vol.64 No.5
Angiosarcoma is a rare but highly malignant tumorthat usually arises in the scalp or face of elderly males. Distant metastases favor the lung, liver, lymph nodes and skin. Metastatic pulmonary angiosarcoma commonly takes the form of a nodule but can sometimes appear as a thin-walled cyst. We report a case of 65 years-old male with a spontaneous pneumothorax, who underwent excision and radiotherapy for an angiosarcoma of the scalp 2 years ago. A chest CT scan revealed multiple cysts in the lung. The video-assisted thoracoscopic lung biopsy demonstrated subpleural cysts without tumor cells. A skin biopsy of the scalp showed an angiosarcoma. This case was diagnosed as a recurrence of an angiosarcoma with a supposed lung metastasis. This case suggests that a spontaneous pneumothorax in elderly people may be secondary to a pulmonary metastasis from an angiosarcoma of the scalp. (Tuberc Respir Dis 2008;64:374-378)
인슐린양 성장 인자 결합 단백-3 유전자-202 좌위의 다형성에 따른 비소세포폐암의 위험도
문진욱 ( Jin Wook Moon ),장윤수 ( Yoon Soo Chang ),한창훈 ( Chang Hoon Han ),강신명 ( Shin Myung Kang ),박무석 ( Moo Suk Park ),변민광 ( Min Kwang Byun ),정우영 ( Wou Young Chung ),박재준 ( Jae Jun Park ),유경남 ( Kyeong Nam Yo 대한결핵 및 호흡기학회 2005 Tuberculosis and Respiratory Diseases Vol.58 No.4
흉막 결핵에서 연령과 흉수 Adenosine Deaminase 활성도와의 연관성
문진욱 ( Jin Wook Moon ),한창훈 ( Chang Hoon Han ),강신명 ( Shin Myung Kang ),박무석 ( Moo Suk Park ),황상연 ( Sang Yeon Hwang ),변민광 ( Min Kwang Byun ),정우영 ( Wou Young Chung ),황혜진 ( Hye Jin Hwang ),김영삼 ( Young Sam K 대한결핵 및 호흡기학회 2005 Tuberculosis and Respiratory Diseases Vol.58 No.5