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응급실을 내원한 흉통 환자의 원인질환에 따른 흉통의 질 및 관상동맥질환자의 흉통 표현
천선희 (Cheon, Sun Hee),최명애 (Choe, Myoung Ae) 병원간호사회 2008 임상간호연구 Vol.14 No.3
Purpose: The purpose was to identify quality of chest pain according to causal diseases and pain expression of patients with coronary artery diseases. Method: Participants were 1,964 patients with pain who visited the emergency department of A hospital from January to December 2006. Data were collected from nurses' and doctors' records as to causal disease, and quality and expression of chest pain. Results: Causal diseases were coronary artery diseases, non-specific chest pain, respiratory diseases, non-coronary artery heart diseases and digestive diseases in that order of frequency. Every disease except respiratory disease caused mostly dull and tract pain, but 63.7% of patients with coronary artery diseases complained of typical angina pain and 24.9% complained of atypical angina pain. Patients with coronary artery diseases mostly used word 'heaviness' in describing their dull pain, and 'squeezing' for tract pain. Both male and female patients who were diagnosed with coronary artery disease complained mostly frequently of dull pain and tract pain. Conclusion: The most common causal disease for patients with chest pain was coronary artery disease. Patients with other diseases also frequently complained of dull and tract pain, the same as patients with coronary artery diseases. A considerable number of patients complained various types of atypical angina pain in coronary artery diseases.
원저 : 흉막삼출 원인질환의 감별진단에 있어서 흉막액 Adenosine Deaminase 활성도 및 Carcinoembryonic Antigen 병행측정의 임상적 의의
이장훈 ( Jang Hoon Lee ),장상호 ( Sang Ho Jang ),이홍렬 ( Hong Lyeol Lee ),곽승민 ( Seung Min Kwak ),장중현 ( Jung Hyun Chang ),김병일 ( Byung Il Kim ),천선희 ( Sun Hee Cheon ),김세규 ( Se Kyu Kim ),장준 ( Joong Chang ),김성규 ( 대한결핵 및 호흡기학회 1993 Tuberculosis and Respiratory Diseases Vol.40 No.1
종격동 및 복부 임파절종대를 동반한 미만성 간질성 폐질환 양상의 폐결핵 1예
이은영,홍영선,천선희,박영식,백승연,한운섭 梨花女子大學校 醫科大學 醫科學硏究所 1993 EMJ (Ewha medical journal) Vol.16 No.4
The diffuse interstitial lung diseases are a heterogeneous group of diffuse inflammatory disorders of the lower respiratory tract characterized by derangements of the alveolar walls andloss of functional alveolar capillary units. The most common causes of diffuse interstitial lungdiseases are idiopathic pulmonary fibrosis, sarcoidosis, collagen vascular disorders, hypersensitivily pneumonitis and pneumoconiosis. Especially, the miliary tuberculosis is also leading causein Korea, but pulmonary tuberculosis presenting as diffuse interstitial lung disease except miliarytubercuaosis is rare. We report a case of pulmonary tuberculosis presenting as diffuse interstitiallung disease associated with the tyrnphadenopathy of mediastinum and abdomen.
김미선,조성민,신동환,김성숙,천선희,홍기숙 대한내과학회 1997 대한내과학회지 Vol.52 No.3
Chronic eosinophilic pneumonia is characterized by multiple and dense areas of consolidation on chest radiographs and computed tomographic scans, persistent symptoms, a requirement for steroid therapy and possible relapses. The finding of increased BAL eosinophils is most helpful in diagnosis of patients presenting with chronic eosinophilic pneumonia. Therefore, although biopsy remains the gold standard for diagnosis of chronic eosinophilic pneumonia, it is usually not required if the clinical findings are characteristic and if the response to a trial of corticosteroids is rapid and complete. The male patient, aged 40years, presented with cough, chest pain, weight loss and peripheral in- filtration of right middle lobe on the chest radiograph and chest computed tomographic scans. We confirmed chronic eosinophilic pneumonia with bronchoalveolar lavage analysis and transbronchial lung biopsy. We herein report a lobal type of chronic eosinophilic pneumonia with a brief review of literature.
폐의 급, 만성 염증시 기관지내 둥근 종괴로 발생된 육아조직 4예
이창배,신태림,이경은,박영미,전정현,남준식,김효정,김유경,윤희수,구혜수,천선희 梨花女子大學校 醫科大學 醫科學硏究所 1999 EMJ (Ewha medical journal) Vol.22 No.3
비특이적인 염증 상태에서 발생하는 육아조직이 종괴의 형태를 띠는 경우가 있다. 저자들은 최근 1년간 이대부속 동대문병원에서 시행한 기관지내시경 검사상대엽 기관지나 분절기관지의 입구를 폐쇄시키는 둥근 종괴로 발견된 염증소견의 육아조직 4례를 관찰하였다. 따라서 기관지내 종괴의 감별 진단시에는 급만성 염증에 의해 발생할수 있는 육아조직의 가능성을 반드시 고려해야 하겠다. The granulation tissue, which are found in nonspecific inflammation, occasionally seemed like round mass. We experienced and report four cases in which the granulation tissue presented as endobronchial mass on the bronchoscopy. The masses obstructing lobar or segmental bronchial oriface were round, smooth surfaced and pinkish except whitish one case. The granulation tissue caused by acute or chronic inflammations, should be considered to differentiate endobronchial mass.