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이석열,이승진,이만복,염욱,이길노,최두호,이동화,Lee, Seock-Yeol,Lee, Seung-Jin,Lee, Man-Bok,Youm, Wook,Lee, Kihl-Rho,Choi, Doo-Ho,Lee, Dong-Wha 대한흉부심장혈관외과학회 1998 Journal of Chest Surgery (J Chest Surg) Vol.31 No.8
원발성 심장종양은 대단히 희귀하며 원발성 심장종양가운데 25%정도가 악성종양이다. 저자들은 희귀한 원발성 좌심방 미분화 육종을 보고하는 바이다. 환자는 28세 여자로 임신32주에 호흡곤란을 주소로 내원하였다. 심초 음파와 자기공명영상에서 좌심방의 80-90%를 차지하는 종양이 발견되어 점액종으로 진단하고 응급수술을 시행 하였다. 수술은 먼저 제왕절개술을 통하여 태아를 분만후에 체외순환하에 좌심방 절개를 하였다. 좌심방내의 심내막일부를 포함하여 종양절제후에 병리소견상 미분화 육종으로 판명되어 방사선치료후 현재 추적관찰중이다. Primar99y cardiac tumors are rare and about 25% of primary cardiac tumors are malignant. A primary undifferentiated cardiac sarcoma, which very rare, is presented as follows: A 28-year old woman at the 32th week of pregnancy was admitted to the hospital because of dyspnea. A large intracardiac (left atrium) tumor was found with cardiac echocardiography and MRI. Emergency operation was performed under the diagnosis of left atrial myxoma. After Cesarean section, LA-tomy was done under the cardiopulmonary bypass. Tumor removal including endocardium of left atrium was done and final pathologic diagnosis was primary undifferentiated laft atrial sarcoma. After adjuvant radiotherapy, she has been followed up in out patient bases without problems up to now.
선천성(先天性) 심장병(心臟病)의 개심술(開心術) -6례(例) 수술경험(手術經驗) -
이성행,이성구,한승세,이길노,김송명,이광숙,이종국,Lee, Sung Haing,Lee, Sung Koo,Han, Sung Sae,Lee, Kihl Rho,Kim, Song Myung,Lee, Kwang Sook,Lee, Chong Kook 대한흉부심장혈관외과학회 1976 Journal of Chest Surgery (J Chest Surg) Vol.9 No.2
Six cases of congenital heart disease were operated on by means of cardiopulmonary bypass between December, 1975 and April, 1976. Two cases of ventricular septal defects (VSD), two cases of VSD, associated with ruptured aneurysm of sinus Valsalva, two cases of atrial septal defects (ASD) and one case of pulmonic stenosis with patent ductus arteriosus were operated. Sarns roller pumps and Bentley Temptrol oxygenators were used for extracorporeal circulation. Pump oxygenator was primed with Ringer's lactate solution, 5% dextrose in water, mannitol, and ACD blood. Flow rate ranged from 2.0 to $2.4L/M^2/min$. Bicarbonate was added to the oxygenator with estimated amount as 15 mEq/L/hr. Venous catheters were introduced into superior and inferior vena cava, and oxygenated blood was returned to the body through aortic cannula inserted into ascending aorta. Moderate hypothermia ($30^{\circ}C$) was induced by core cooling. Aorta was cross clamped for 15 minutes and released for 3 minutes, and repeated clamping when necessary. Atrial and ventricular septal efects were closed by direct sutures. Aneurysms of sinus Valsalva ruptured into the right ventricle were repaired through right ventriculotomy by d:rect closure with Dacron patch reinforcement. Cardiopulmonary bypass time varied from 66 to 209 minutes, and aorta cross clamping time ranged from 13 to 56 minutes. Postoperative bleeding was minimal except one case who needed for evacuation of substernal hematoma. Intra- and postoperative urinary output was satisfactory. Acid-base balance, partial pressure of $O_2$, electrolytes, and hematological changes during intra- and post-perfusion period remained at the acceptable ranges. No mortality was experienced.
이석열 ( Seock Yeol Lee ),이승진 ( Seung Jin Lee ),박형주 ( Hyung Joo Park ),이철세 ( Cheol Sae Lee ),이길노 ( Kihl Rho Lee ),오미혜 ( Mee Hye Oh ) 대한외상학회 2004 大韓外傷學會誌 Vol.17 No.2
A 36-year-old male was admitted to our hospital due to tibio-fibular fracture of the right leg and chest contusion. He was diagnosed as a bilateral traumatic pulmonary pseudocyst by Chest X-ray and computerized tomography. Follow-up chest CT showed incresed traumatic pulmonary pseudocyst. The patient complained of high fever and leukocytosis was occured. The patient underwent pulmonary wedge resection including traumatic pseudocyst of right upper and middle lobe. Following the operation, the patient has improved. Traumatic pulmonary pseudocyst is a rare complication after chest contusion. We present the case and review the traumatic pulmonary pseudocyst with related articles.
이석열,이만복,이길노,고은석,임한혁,Lee, Seock-Yeol,Lee, Man-Bok,Lee, Kihl-Rho,Koh, Eun-Suk,Im, Han-Heag 대한기관식도과학회 1999 大韓氣管食道科學會誌 Vol.5 No.2
Chronic hiccup is a rare occurrence but can be debilitating for the patient. Treatment of choice is seldom reported. A 83-year-old male was admitted our hospital due to chronic hiccup for 3 months. Chest PA X-ray and chest CT showed a lung mass finding in the right lower lobe. After percutaneous transthoracic needle aspiration, squamous cell lung cancer with abscess formation was confirmed. Within three days of initiation of baclofen treatment. stop of hiccup was obtained. We report a baclofen effect for chronic hiccup.
만성 신부전 환자에서 혈액투석 도관에 의한 중심정맥 폐쇄증의 수술치험 -1례 보고-
이석열,이준복,이만복,염욱,이길노,Lee, Seock-Yeol,Lee, Jun-Bock,Lee, Man-Bok,Youm, Wook,Lee, Kihl-Rho 대한흉부심장혈관외과학회 1998 Journal of Chest Surgery (J Chest Surg) Vol.31 No.6
우측 팔의 부종과 압통을 주소로 내원한 51세 만성 신부전증 환자에서 정맥 촬영술의 결과 반복된 쇄골하정맥 도관삽관술후에 생긴 중심정맥(우쇄골하정맥, 우내경정맥, 우상완두정맥과 좌무명정맥)의 폐쇄증을 Goretex 인조혈관을 이용하여 우쇄골하정맥-상공정맥에 10 mm Goretex 인조혈관 우회로 조성술과 좌쇄골하정맥-10 mm Goretex 인조혈관사이에 8 mm Goretex 인조혈관 우회로 조성술을 실시하여 좋은 결과를 얻었다. A 51-year-old male with chronic renal failure had marked swelling and tenderness of the right arm. Venography revealed central vein occlusion involving stenosis of right proximal subclavian vein, right internal jugular vein, and left distal innominate vein, and obstruction of right brachiocephalic vein. Multiple obstruction of these veins was thought to have resulted from repeated subclavian catheterization. Right subclavian-superior vena cava was bypassed with 10 mm Gore-tex vascular graft and then left subclavian vein with 8 mm Gore-tex vascular graft was bypassed to the 10 mm Gore-tex vascular graft. The results were excellent.
이석열,이승진,이철세,이길노,오미혜,Lee, Seock-Yeol,Lee, Seung-Jin,Lee, Cheol-Sae,Lee, Kihl-Rho,Oh, Mee-Hye 대한소아외과학회 2007 소아외과 Vol.13 No.1
An 1-month old female newborn was admitted to our hospital because of jaundice which occurred at 2 days after birth. Plain chest X-ray and chest CT revealed a collapsed right middle lobe and lobar emphysema was suspected. Right upper lobectomy of the lung was done and pathologic findings showed an infantile lobar emphysema. After the operation, the newborn was discharged without complication and was followed up through the out patient clinic. Infantile lobar emphysema is rare and male dominant. Left upper lobe of the lung is the most prevalent site. Patients with infantile lobar emphysema complain of respiratory symptoms. We report one case of infantile lobar emphysema on right upper lobe of lung, in a female with no respiratory symptoms.
이석열,이승진,박형주,이철세,이길노,Lee, Seock-Yeol,Lee, Seung-Jin,Park, Hyung-Joo,Lee, Cheol-Sae,Lee, Kihl-Rho 대한소아외과학회 2004 소아외과 Vol.10 No.2
A one day old female infant was brought to the emergency room suffering from shortness of breath. An x-ray revealed the gastrointestinal tract in the right thoracic cavity. An emergency operation demonstrated eventration of the diaphragm, and a plication was performed. The baby was discharged without complication and has been followed up in the out patient clinic. Congenital diaphragmatic eventuation requiring emergency operation is rare.
소아에서 천식과 연하곤란으로 진단된 종격동 기관지 낭종 - 1예 보고 -
이석열,전철우,이승진,이철세,이길노,Lee, Seock-Yeol,Jeon, Cheol-Woo,Lee, Seung-Jin,Lee, Cheol-Sae,Lee, Kihl-Rho 대한소아외과학회 2008 소아외과 Vol.14 No.1
A 19-month-old boy suffered from stridor and dysphagia. He was taking asthma medication for a few months, but symptoms did not improve. After admission, a chest CT showed a posterior mediastinal mass, which compressed the trachea and esophagus. The removed mass via open thoracotomy was a bronchogenic cyst on histopathology. Postoperatively, stridor and dysphagia disappeared. In case of persistent and refractory stridor or dysphagia in children, congenital lesions including bronchogenic cyst need to be ruled out.
중환자에서 동맥혈 가스분석 횟수와 그로인한 실혈량에 대한 연구
이석열,전철우,정영수,오희숙,마분란,이정미,정혜영,이만복,이길노 순천향의학연구소;Soonchunhyang Medical Research Institute 2000 Journal of Soonchunhyang Medical Science Vol.6 No.1
Background : Arterial blood gas analysis is the most comon exam in intensive care unit. In this study, the frequency of blood gas analysis and the amount of blood loss after Blood Gas Analysis in Intensive Care Unit were observed. Methods : From November 1999 to February 2000, 115 patients admitted to intensive care unit at Soonchunhyang university Kumi hospital were studied prospectively for the frequency of blood gas analysis and the amount of blood loss after blood gas analysis in Intensive Care Unit. Results : The mean value of frequency of blood gas analysis was 6.41±6.49 and the mean value of amount of blood loss after blood gas analysis was 0.78ml. This was lower than that of other foreign reports. The patients with ventilator therapy above 24 hours showed higher frequency of blood gas analysis than that of not applied ventilator patients. Pulse oxymetry was applied to all patients and the frequency of blood gas analysis was decreased due to the use of strict pulse oxymetry. Conclusion : Doctors and nurses in intensive care unit keep in mind that adequate blood sampling is needed for the decrease of blood loss. Education and protocol for the decrease of blood loss after arterial blood gas analysis may be necessary.
이석열,양성린,이길노 순천향의학연구소 2001 Journal of Soonchunhyang Medical Science Vol.7 No.1
Background: Varicose veins are a very common condition that presents in a variety of forms. Treatment mordlities are variant and beneficial. The authors report an experience of compression sclerotherapy using Tromboject(Sodium tetradecyl sulfate) in varicose veins of the lower extremities. Methods: Prospective study was performed in 62 varicose vein patients who were treated with compression sclerotherapy from Mar. 1999 to Mar 2001. Sclerosing agent was used by 1%, 3% sodium tetradecyl sulfate and high concentrated agent was injected in proportion to vessel diameter. And then the patients wore compression stocking for 2 months. Results: The prevalent age group consisted of fourth decade and mean age was 39. The female to male ratio was 3.8:1. The site of varicose vein was similar to both side and major involved vein was greater saphenous vein. Duration of the varicose vein was mostly 1-20 years. All patients were complained of cosmetic problem and other symtoms were heaviness, walking discomfort, pain and leg edema. The most etiologic factor was pregnancy. Average frequency of injection was 1.65±0.55 and mean follow-up periods was 11.9 months. There was no recurrence during follow-up periods. The most patients were satisfied with compression sclerotherapy and satisfaction degree was 4.84±0.42. Hyperpigmentation was developed in all case but normalized after 3-6 months. Other complications was leg edema, superficial thrombophlebitis, and hematoma. Contact dermatitis appeared as complication ,especially summer, due to compression stocking. Conclusion: Compression sclerotherapy showed good results and minimal side effects in varicose vein of the lower extremities. Compression sclerotherapy may be primary treatment in selected cases.