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Scimitar 징후를 동반한 부분폐정맥환류이상 -1례보고-
권종범 대한흉부심장혈관외과학회 2000 Journal of Chest Surgery (J Chest Surg) Vol.33 No.10
We experienced a case of partial anomalous pulmonary venous return from righ lung to inferior vena cava, which combined with Scimitar sign in 18 years old female patient. Diagnostic procedures were simple chest x-ray chest CT, and cardiac catheterization. We redirected the anomalous venous flow from inferior vena cava to left atrium through the intracardiac tunnel which was made with autologous pericardium. Postoperative course was not eventful.
권종범,박찬범,김진호,김경희,박규호,원용순,박건,곽문섭,Kwon, Jong-Bum,Park, Chan-Beom,Kim, Jin-Ho,Kim, Kyung-Hee,Park, Gyu-Ho,Won, Yong-Soon,Park, Kuhn,Kwack, Moon-Sub 대한흉부심장혈관외과학회 2000 Journal of Chest Surgery (J Chest Surg) Vol.33 No.12
중피종은 늑막의 중피세포에서 발생되는 매우 드문 종양이며, 저혈당은 비섬세포(Non-islet cell) 종양에서 발생되는 매우 드문 증상으로 알려져 있다. 본 저자들은 좌측 흉강을 차지하며 저혈당을 동반한 환자에서 종양의 수술적 제거직후 증상이 사라졌으며, 조직학적으로는 국소섬유종의 소견을 보일 경우를 치험하여 보고하는 바이다.
권종범,박찬범,원용순,박건,곽문섭,Kweon, Jong-Bum,Park, Chan-Beom,Won, Yong-Soon,Park, Kuhn,Kwak, Moon-Sub 대한흉부심장혈관외과학회 2000 Journal of Chest Surgery (J Chest Surg) Vol.33 No.3
Endoscopic sympathicotomy is the choice of the treatment for hyperhidrosis. There are some recognized risks such as Honer's syndrome and Hemopneumothorax; however, Chylothorax has very rarely been reported after thoracic sympathicotomy. We recently encountered a case of chylothorax. Early diagnosis and prompt treatment is noteworthy.
다한증 환자에서 흉강경 하 흉부교감신경 절제술 후 발생한 복합부위 통증 증후군 -1례보고-
권종범,심성보,원용순,박건,이재광,곽문섭,김종렬,윤건중,Kweon, Jong-Bum,Sim, Sung-Bo,Won, Yong-Soon,Park, Kuhn,Lee, Jae-Kwang,Kwack, Moon-Sub,Kim, Jong-Lul,Yoon, Keon-Jung 대한흉부심장혈관외과학회 2000 Journal of Chest Surgery (J Chest Surg) Vol.33 No.6
Thoracoscopic sympathectomy is a common technique used to treat plamar hyperhiodrosis. The complications of thoracoscopic sympathectomy are rare. Recently, we experienced a complex regional pain syndrome(CRPS) after thoracoscopic sympathecotomy in a patient with hyperhidrosis. The treatment of this complication was chemical epidural sympathetic block and conservative pain control. The result of this treatment was good. The patient was recovered after one month.
경동맥 내중막 두께가 정상 C-반응성 단백질 농도를 가진 안정형 협심증 환자에서 가지는 임상적 의의
권종범,박건,최시영,박찬범,김용환,허성호,박만원,이종호 대한흉부외과학회 2010 Journal of Chest Surgery (J Chest Surg) Vol.43 No.5
Background: The purpose of this study was to determine whether hand-measured carotid intima-media thickness (IMT) was a reliable and simple tool that could be used to evaluate the severity of stable coronary artery disease (CAD) with normal high-sensitivity C-reactive protein (CRP). Material and Method: We examined left carotid IMTs in 688 patients with stable CAD and excluded 121 patients with abnormally elevated hs-CRP (≥0.5 mg/dL). We sought to determine the association between risk factors and the severity of stable CAD and carotid IMT in 567 patients who were divided into lower and higher groups based on the median value. Patients underwent a coronary artery angiogram and had at least significant stenosis (>50% of the original luminal diameter involving one or more major coronary artery). Result: Of the 567 patients, 300 (52.9%) were in the lower IMT group and 267 (47.1%) were in the higher IMT group; the median value was 0.76 mm. By multivariable logistic regression analysis, the following groups were different: older age (∼49 vs. 70∼ years, respectively; OR=6.552), high FBS (∼99 vs. 120∼ mg/dL; OR=1.713) and severity of CAD (1 vessel vs. 2 vessel disease; OR=1.711, 1 vessel vs. 3 vessel disease; OR=1.714). Conclusion: We conclude that there are correlations between increased carotid IMT and severity of CAD in stable angina patients with normal CRP levels. 배경: 본 연구에서는 정상 고감도 C-반응성 단백질(hs-CRP) 농도를 가진 안정형 관상동맥 질환 환자에서 관상동맥 질환의 중증도를 알아보기 위한 도구로서 신뢰도가 높고, 용이한 방법인 경동맥 내중막 두께의 가치를 알아보고자 하였다. 대상 및 방법: 688명의 안정형 관상동맥 질환 환자에서 고감도 C-반응성 단백질이 비정상적으로 높은 농도를 보인(≥0.5 mg/dL) 121명의 환자를 제외한 567명의 환자를 대상으로 이미 알려진 관상동맥 유발 위험 인자들과 좌측 경동맥 내중막 두께 그리고 관상동맥 질환 중증도의 연관성을 알아 보았다. 환자들은 중간값(median-value)을 기준으로 경동맥 내중막 두께가 높은 군과 낮은 군으로 나누었고 관상동맥 조영술 상 3개의 주 관상동맥 중 적어도 1개 이상의 관상동맥에서 원래 직경의 50% 이상 좁아진 환자들을 대상으로 하였다. 결과: 567명의 환자들 중, 중간값인 0.76 mm을 기준으로 300명(52.9%)은 경동맥 두께가 낮은 군에, 267명(47.1%)은 높은 군에 속하였다. 다변수 로지스틱 회귀분석에 의하면 높은 연령(49세 이하 vs. 70세 이상; 상대적위험률=6.552), 높은 공복 혈당(99 mg/dL 이하 vs. 120 mg/dL 이상; 상대적위험률=1.713), 관상동맥질환의 중증도(1 혈관질환 vs. 2 혈관질환; 상대적위험률=1.711, 1 혈관질환 vs. 3 혈관질환; 상대적위험률=1.714)에서 유의하게 의미가 있었다. 결론: 우리는 안정형 관상동맥질환 환자에서 경동맥 내중막 두께가 의의있게 큰 경우 C-반응성 단백질의 농도가 정상이라도 관상동맥 질환이 더 다혈관질환일 가능성이 크다고 생각할 수 있다.
안정성협심증 환자에서 저명한 관상동맥 협착 유무와 좌심실 수축기능, 용적, 질량과 QT Dispersion 간의 관계
권종범,윤희정,진승원,허성호,김형두,김경수,이종호,박건 대한흉부외과학회 2008 Journal of Chest Surgery (J Chest Surg) Vol.41 No.4
Background: The aim of this study was to investigate the relationship of the left ventricular (LV) systolic function, the LV dimension and the LV mass with the QT dispersion in patients with stable angina, and we also wanted to compare this relationship between patients with and without significant coronary stenosis on coronary angiography. Material and Method: 174 patients complained of typical angina and they had no associated ST segment or cardiac enzyme abnormalities. The patients were divided into 2 groups based on the results of coronary angiography: the patients with angiographic coronary stenosis ≥50% made up group I (n=101), and the patients with angiographic coronary stenosis <50% made up group II (n=73). An echocardiogram for assessing the LV ejection fraction (EF), the LV dimension and the LV mass and a 12-lead electrocardiogram for assessing the QT dispersion were performed before the coronary angiography. Result: The QT dispersion was significantly greater in group I than that in group II (39.8 ms vs. 33.3 ms; p<0.05). For all the patients, all the parameters of LV dimension and LV mass had statistically positive correlation to the QT dispersion, but the LV mass was the only independently significant parameter that was correlated with the increased QT dispersion (p<0.05). For group I, none of the echocardiographic parameters had significant correlation with the QT dispersion. However, the LV dimension and LV mass had significantly positive correlation with the QT dispersion, and the LV mass was also the only independently significant parameter that was correlated with increased QT dispersion in group II (p<0.05). Conclusion: Our study demonstrated a significantly positive correlation of the QT dispersion to the LV dimension and the LV mass in patients with stable angina. These findings are present only in patients without significant coronary stenosis.
권종범,박선화,김덕현,윤종현,최현희,김문수,김영,신선경,김현구,Kwon, JongBeom,Park, Sunhwa,Kim, Deok Hyun,Yoon, JongHyun,Choi, Hyeonhee,Kim, Moonsu,Kim, Young,Shin, Sun-Kyoung,Kim, Hyun-Koo 한국지하수토양환경학회 2022 지하수토양환경 Vol.27 No.4
Cadmium is a class 1 carcinogen classified by the International Agency for Research on Cancer (IARC) and has a high potential for leaching into groundwater. Therefore, it is necessary to address cadmium contamination by employing adequate treatment methodologies. Although various methods have been suggested to reduce cadmium in groundwater, their applications often suffer from various limitation arising from heterogeneous field conditions and technical difficulties. In this work, several in-situ technologies to treat cadmium contaminated groundwater were reviewed and discussed by separately addressing physicochemical, chemical and biological methods. In particular, the optimum cadmium remediation strategies that involve physical removal of source area → physicochemical and chemical remediation → biological remediation were proposed by considering reduction efficiency, adsorption rate, economic feasibility and ease of field application in groundwater.
대동맥판막 치환술 시행 환자에서 발생한 관상동맥 경축에 의한 흉통 -1예 보고-
권종범,박건,김경수,이종호,윤희정,허성호,이종민,진승원 대한흉부외과학회 2007 Journal of Chest Surgery (J Chest Surg) Vol.40 No.10
관상동맥 경축은 일시적으로 갑작스럽게 관상동맥이 수축하여 흉통이 발생하고 심근의 경색을 일으키는 것으로 알려져 있다. 중증도의 대동맥판 폐쇄 부전으로 대동맥판막 치환 수술 후 외래 추적 관찰 중 생긴 급성심근경색의 원인으로 검사상 우측 관상동맥 경축으로 밝혀진 예가 있어 보고합니다.
자가 늑연골과 심낭막을 이용한 기관 및 기관지성형술 -2례 보고-
권종범,나석주 대한흉부심장혈관외과학회 1996 Journal of Chest Surgery (J Chest Surg) Vol.29 No.2
양성원인에 의한 기관지협착 환자에서 기관지 성형술은 협착부위 이하의 폐기능을 유지해 줌으로써 가장 우수한 수술방법으로 알려져 있다. 본 가톨릭 대학교 의과대학 흉부외과학교실에선 2명의 환자에서 (기관 평활근종, 결핵성 기관지 협착) 자가 늑연골과 심낭막을 이용하여 기관 및 기관지 성형술을 시행하였다. 수술후 경과는 양호 하였으며 술후 6개월에 실시한 기관지 내시경 검사상 기관 및 기관지 성형부위의 특별한 이상은 없었다. In the bronchial stenosis due to benign causes, bronchoplastic procedure has been considered as one of the best surgical treatment, because of preserving normal lung tissue below the affected bronchi. We have treated 2 patients (tracheal leiomyoma, bronchial stenosis due to chronic inflammatory cicatrization) that suffered from benign tracheal and bronchial stenosis by bronchoplastic procedure using autologous costal cartilage covered with pericardium. Patients showed good patency of bronchoplastic bronchi in bronchoscopic examination that was performed at 6 months afte the operation.