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Judet`s strut를 이용한 흉벽요동 치료;6례 보고
이현재 대한흉부심장혈관외과학회 1993 Journal of Chest Surgery (J Chest Surg) Vol.26 No.10
Six patients with flail chest were performed operative stabilization with Judet`s Struts.The indications of opertive stabilization were exploratory thoracotomy or laparotomy in 4 patients, and severe chest pain due to displaced ribs which deteriorated respiratory pattern and gas exchange in 2 patients. After operation, all patients became comfortable and complained less pain.Two patients restored spontaneous breathing without ventilator therapy and 2 patients were ventilated during 4 days and 5 days, respectively.There were no morbidity and mortality related to operative stabilization.
이현재,조맹기,김윤,최길수,주정화,심보성 대한신경외과학회 1972 Journal of Korean neurosurgical society Vol.1 No.1
The medulloblastoma a neoplastic entity which was first ideatified and described in 1925 by Bailey and Gushing, is a highly malignant, rapidly growing tumor mainly confined to the first decade of life. The medulloblastoma rarely calcifies. Many investigators have reported that medulloblastoma may exhibit calcification only on microscopic examination. Roentgenographic evidence of calcification was found in one case of 54 patients with medulloblastomas by McRae, and in only one case of 96 patients with medulloblatosmas by Kalan. A twelve-year-old Korean male was admitted to Seoul National University Hospital on May 1, 1972 with the complaints of severe occipital headache, vomiting, and unsteady gait of five months duration. Neurological examination revealed bilateral papilledema of 3 diopters, signs of cerebeller dysfunction on the left side including truncal ataxia, adiadochokinesia, positive Romberg test and markedly disturbed tandam gait, Horizontal nystagmus with quick component directed to the left side was also found. Plain skull films showed suture separation and an abnormal calcific shadow measuring about 2 by 2.5 ㎝ in the posterior fossa. Reflux brachial angiograin showed marked bowing of anterior cerebralartery, and elevation of middle and posterior cerebral arteries suggesting a large mass in the posterior fossa causing obstruction of CSF pathways resulting in marked dilatation of ventricular system. Exploring the porterior fossa, a soft grayish tumor mass was removed partially. Microscopic diagnosis was medulloblastoma of desmoplastic type with calcification. Postoperatively CSF leakage through the incision site was encountered, hut was controlled to be healed up by compression bandage. The patient showed no significant change of neurological status by the time of disharge. The patient was schedulled to undergo Co radiation therapy after discharge.