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한민수,강홍모,유지홍,Han, Min-Soo,Kang, Hong-Mo,Yoo, Jee-Hong 대한결핵및호흡기학회 1998 Tuberculosis and Respiratory Diseases Vol.45 No.1
A 64-year-old male was admitted due to weight loss of 5kg during a month. Chest X-ray showed two large, lobulated masses on both lower lobe. Chest CT showed ill-defined, multilobulated mass on left lower lobe and irregular, relatively homogenous mass with air-bronchogram on right lower lobe. Left lower lobectomy and right lower lobectomy was performed sequentially with three months interval. Microscopic findings showed squamous cell carcinoma of both mass. It was thought that this patient had synchronous double primary lung cancer.
가정산소치료의 보험급여 실시 이후 처방 실태 다기관 조사 -만성기도폐쇄성질환 임상연구센터 제3세부과제 만성기도폐쇄성질환 진료지침 개발/보급 연구-
박명재 ( Myung Jae Park ),유지홍 ( Jee Hong Yoo ),최천웅 ( Cheon Woong Choi ),김영균 ( Young Kyoon Kim ),윤형규 ( Hyoung Kyu Yoon ),강경호 ( Kyung Ho Kang ),이승룡 ( Sung Yong Lee ),최혜숙 ( Hye Sook Choi ),이관호 ( Kwan Ho Lee 대한결핵 및 호흡기학회 2009 Tuberculosis and Respiratory Diseases Vol.67 No.2
Background: From November 2006, The national health insurance system in the Republic of Korea began to cover prescribed long-term oxygen therapy (LTOT) in patients with chronic respiratory insufficiency. This study examined the current status of LTOT after national health insurance coverage. Methods: Between November 1, 2006 and June 30, 2008, the medical records of patients who were prescribed LTOT by chest physicians were reviewed. The data was collected from 13 university hospitals. Results: 197 patients (131 male and 66 female) were prescribed LTOT. The mean age was 64.3±13.0 years. The most common underlying disease was chronic obstructive pulmonary disease (n=103, 52.3%). Chest physicians prescribed LTOT using arterial blood gas analysis or a pulse oxymeter (74.6%), symptoms (14%), or a pulmonary function test (11.2%). The mean oxygen flow rate was 1.56±0.68 L/min at rest, 2.08±0.91 L/min during exercise or 1.51±0.75 L/min during sleep. Most patients (98.3%) used oxygen concentrators. Only 19% of patients used ambulatory oxygen supplies. The oxygen saturation before and after LTOT was 83.18±10.48% and 91.64±7.1%, respectively. After LTOT, dyspnea improved in 81.2% of patients. The mean duration of LTOT was 16.85±6.71 hours/day. The rental cost for the oxygen concentrator and related electricity charges were 48,414±15,618 won/month and 40,352±36,815 won/month, respectively. Approximately 75% of patients had a regular visit by the company. 5.8% of patients had personal pulse oxymetry. 54.9% of patients had their oxygen saturation checked on each visit hospital. 8% of patients were current smokers. The most common complaint with LTOT was the limitation of daily activity (53%). The most common complaint with oxygen concentrators was noise (41%). Conclusion: The patients showed good compliance with LTOT. However, only a few patients used an ambulatory oxygen device or had their oxygen saturation measured.
이달의 X선 : 공동성 폐렴으로 오인된 폐기종을 둘러싼 선암
문수영 ( Soo Young Moon ),유지홍 ( Jee Hong Yoo ),김경엽 ( Kyung Yup Kim ),최혜숙 ( Hye Sook Choi ),최천웅 ( Cheon Woong Choi ),박명재 ( Myung Jae Park ),강홍모 ( Hong Mo Kang ),곽영태 ( Young Tae Kwak ),김대현 ( Dae Hyun Kim ) 대한결핵 및 호흡기학회 2007 Tuberculosis and Respiratory Diseases Vol.63 No.2
폐선암이 공동성 종괴로 발현하는 것은 드문 것으로 알려져 있다. 그리고 폐기종이 폐암발생과 연관이 있다는 보고들이 있었다. 저자들은 방사선 검사에서 공동성 종괴를 가진 진균성폐렴으로 오인된, 폐기종 병변을 둘러싸고 진행한 폐선암을 경험하였다. 이 증례와 관련되어 문헌 고찰을 하였으며, 폐기종이 있는 환자에서 폐암이 잘 발생할 수 있다는 것을 알아야 할 것이다. Adenocarcinoma presenting as a solitary mass with a cavity in chest computed tomogram is rare. A few reports have suggested an association between lung cancer and emphysema. We report a case of adenocarcinoma surrounding pulmonary emphysema that mimicked fungal pneumonia. This case highlights the need for cliniclians to be aware of the potential development of lung cancer in patients with emphysema. (Tuberc Respir Dis 2007; 63: 200-203)