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      • SCOPUSKCI등재

        흉부대동맥의 동맥류 절제 치험례

        김영태 대한흉부심장혈관외과학회 1973 Journal of Chest Surgery (J Chest Surg) Vol.6 No.1

        This is one case report of successful resection of the aneurysm of the thoracic aorta, which det-ected by thoractomy unexpectedly, in the Department of Thoracic Surgery, Hanyang University Hospital. The patient was a 34 years old woman and subjective complaints was not related with the aneurysm. Chest film showed a small round hazy shadow in the left margin of the upper posterior mediastinum. A saccular aneurysm located on the descending thoracic aorta, 7cm distal to the left subclavian artery and arouse from the antero-lateral wall of the aorta. Excision of the saccular aneurysm was performed by cross clamping the descending aorta above and below the aneurysm, and then the defect of the aortic wall was closed by aortorrhaphy with continuous suture. Crossclamping time was required 15 minute. Histopathologically, the wall of the aneurysm consisted of all layers of the arterial wall, that is, intima, media and adventitia. Postoperative course was uneventful and aortogram showed good continuity of the blood flow of the entire aorta.

      • SCOPUSKCI등재

        Eudyna 국소도포에 의한 심상성 (尋常性) 좌창치료에 대한 임상적 고찰

        김영태,김중환 대한피부과학회 1977 大韓皮膚科學會誌 Vol.15 No.4

        The effect of retinoic acid. on hyperkeratotic diseases and. Acne as being published. To confirm the effect of topical retinoic acid, vre subjected 50 patients with mild to severe Acne vulgaris of the face, The patients chosen were not previously treated. with any remedy at least for the past 2 weeks. Eudyna' cream or gel were applied. once or twice a day to the face keeping some distance from the mucous membrane. We checked the number of closed comedones, open comedones, papules, pustules and scara before the treatment and every week for 14 wks during the treatment, The result were as follows: 1. 42 patients began to improve in 2 to 8 wks and markedly improved in 6 to 8 wks. 3 patients dropped out because of severe side effects. Very good: 13 patients(26%) Good: 14 patinets(28%) Satisfactory: 15 patients(80%) None: 5 patients(10%) 2. The side effects: Most of patients suffered from mild to severe erythema, scaling and buming sensation in 2 to 3 days after the initiation of application. In severe cases developed severe erythema, vesicles, pustules, edema and exudation within a week.

      • SCOPUSKCI등재

        외상성 횡경막 Hernia: 2례 보고

        김영태 대한흉부심장혈관외과학회 1973 Journal of Chest Surgery (J Chest Surg) Vol.6 No.2

        Two cases of traumatic diaphragmatic hernia are reported, who were operated on in this department during the last 12 months` period. The first case, a 34 year old male, fell from 6 meters` height while he was working on electric pole. He sustained rib fractures, left 8th, 9th and 10th rib, left diaphragmatic rupture and ileal perforation. In the pleural cavity, there were stomach, omentum, left lobe of liver, transverse colon and ileum, which were reduced into the peritoneal cavity, and the diaphragmatic aperture was closed through anterolateral thoracotomy. After closure of the thoracic incision, median abdominal incision was made and closed the ileal perforation by primary suture. The second case was a 19 year old tyre repairman, who felt abrupt severe abdominal pain during lifting a heavy lyre. A barium study revealed a marked displacement of the stomach into the left pleural cavity. Immediately, thoracotomy was performed and closed the ruptured diaphragm after reduction of the herniated stomach, omentum, transverse colon, spleen and small intestine. The size of the diaphragmatic aperture were measured 17cm. in first case and 12cm. in the other respectively. Both cases discharged after uneventful recovery.

      • SCOPUSKCI등재

        자연기흉에 대한 Thoracoscopy 의 임상적의의

        김영태,김근호,Kim, Young-Toe,Kim, Kun-Ho 대한흉부심장혈관외과학회 1975 Journal of Chest Surgery (J Chest Surg) Vol.8 No.1

        The thoracoscopic study was reported on 21 cases of spontaneous pneumothorax requiring surgical management, and clinical values of thoracoscopic examination on spontaneous pneumothorax were also discussed. patients were treated in the Department of .Thoracic Surgery, Hanyang University Hospital for the period of two Years from May 1972 to April 1974. For exact detection of etiologic factors on spontaneous pneumothorax, the thoracoscopic examination in the intrapleural space was performed in parallel with X-ray study. this study, the difference of diagnostic and therapeutic significance between radiological and thoracoscopic findings were observed and compared simultaneously. The results are summerized as follows: Patients age was distributed between 3 and 70 years old with highest incidence in the age group of sixty decade [33. 3%], and sex ratio of male to female was 5:2. The tuberculous processes which developed superficial subpleural layer in the lung parenchyme, on the pulmonary surface could be observed by thoracoscopic examination in a characteristic picture. detection ratio of pulmonary tuberculosis by the radiologic study to that by thoracoscopy was 8:2. The adhesion between the visceral and the parietal pleura which could possibly make a rupture of the alveola and the visceral pleura was found to be localized in a small area of the lung surface. The other part of the lung surface was free of the adhesion and, therefore, the movement of the lung took place completely without any difficulty. The ruptured orifice of the pleura and pathological changes surrounding the orifice can be detected by thoracoscopy, but not by other means such as radiologic examination. A single tuberculous bleb and multiple emphysematous blebs were found on 6 cases out of 21 cases of spontaneous pneumothorax. Among these cases, radiologic Study revealed the bleb only in one patient. On the other hand, the blebs were found in all the six patients by means of thoracoscopic examination. It gives the detection ratio of bleb by radiologic study to that by thoracoscopy was 1:6. By thoracoscopy, the rupture on the lung surface were visualized on the 10 patients out of a total of 21 patients [10 patients of visual rupture]. However, the rupture of the pleura was not observed on the rest of 11 patients even by thoracoscopic examination [11 patients of non visual rupture]. Five patients [50%] out of ten who had the visual rupture on the lung surface was required a surgical operation to remove pneumothorax. For the patients who were detected to have the visual rupture of the pleura by thoracoscopy, be considered in the early stage of closed thoracostomy. of 21 patients, 16 patients [11 patients of non visual rupture of the pleura and 5 patients of visual rupture of the pleura] who received no surgical management, were treated with closed thoracostomy with continuous suction, and the` pneumothorax was healed completely up in each cases. Therapeutic measures for the remaining 5 patients of visual rupture of the pleura who were subjected to surgical approach for radical treatment of spontaneous pneumothorax were accordingly complicated, and the following different procedures were properly indicated case by case, that is, rib resection thoracostomy, simple closure of ruptured visceral pleura, wedged resection of the lung, and lobectomy.

      • KCI등재후보

        독일 지역재정조정제(Finanzausgleich)의 실제

        김영태 한국지방정치학회 2017 한국지방정치학회보 Vol.7 No.1

        In the narrow sense, the national financial balancing in Germany is the horizontal financial compensation. But the finance system in Germany consists of three stages: pre-tax reconciliation(the redistribution of financial resources between the federal government and the Länder), horizontal financial compensation between the Länder, and general federal allowances. This article analyses the distribution of financial resources in 2015 to understand the compensation for the varying financial strength of the Länder in Germany. 일반적으로 독일의 재정조정제는 개별 주(Länder) 사이의 재정격차를 완화하기 위해 재정력이 강한 주에서 재정력이 약한 주로 세수를 재분배하는 소위 2차적 재정조정제(sekundärer Finanzausgleich, Ergänzender Finanzausgleich)로 이해된다. 그러나 공동세(Gemeinschaftsteuer)를 연방정부와 주정부 사이에 배분하는 1차적 재정조정(primärer Finanzausgleich, Originärer Finanzausgleich) 역시 주 정부 간 재정력 격차 완화에 커다란 의미를 갖는다. 이러한 점을 고려하여 이 글에서는 1차적 재정조정제와 2차적 재정조정제로 포괄하여 독일의 지역재정조정제의 제도적 규정을 살펴보고, 이를 토대로 2015년을 사례로 독일의 재정조정 현황과 재정조정제도의 효과를 분석해보았다.

      • SCOPUSKCI등재

        관동맥 우회술의 수술성적-수술전 처치 및 수술수기의 영향에 관한 연구

        김영태,홍종면,채헌,Kim, Young-Tae,Hong, Jong-Myun,Chae, Hurn 대한흉부심장혈관외과학회 1993 Journal of Chest Surgery (J Chest Surg) Vol.26 No.2

        A total of 40 patients having a diagnosis of atherosclerotic coronary arterial disease were analysed on the operative outcomes according to variables as follows: 1) preoperative risk factors such as age, sex, CCS (Canadian Cardiovascular Society) functional class, type of angina, number of diseased vessel, presence of left main coronary artery stenosis, previous history of habitual smoking and presence of other medical diseases (diabetes mellitus, essential hypertension), 2) preoperative management such as intravenous infusion of nitroglycerine, preoperative IABP (intra-aortic balloon pump) support and whether the operation was scheduled as emergency or not, 3) intraoperative variables such as infusion method and composition of cardioplegic solutions, number of distal anastomosis, use of internal mammary artery, total cardiopulmonary bypass time and total cross clamp time. Complications included operative death in 12.5%, perioperative myocardial infarction in 25.0% and perioperative arrhythmia in 17.5%. Nineteen perioperative variables were analyzed to identify risk factors for these end points. For operative death, presence of left main coronary artery stenosis (p = 0.056) and cardiopulmonary bypass time (p = 0.029) were significant in the univariate analysis, but presence of left main coronary artery lesion (p = 0.011, $\chi$$^2$= 6.45) and abscence of preoperative of IABP support (p = 0.069, $\chi$$^2$ = 3.30) were independent predictor in multivariate analysis (stepwise linear logistic regression).

      • SCOPUSKCI등재

        이오네스큐 대동맥판막의 내구성

        김영태,김종환,Kim, Yeong-Tae,Kim, Jong-Hwan 대한흉부심장혈관외과학회 1991 Journal of Chest Surgery (J Chest Surg) Vol.24 No.7

        endocarditis, 1.475% /pt-yr, overall valve failure, 3.319% /pt-yr; and primary tissue failure, 1.475% /pt-yr. The actuarial probability of survival was 94.3$\pm$3.6% and the probability of freedom from thromboembolism 90.6$\pm$4.6% at 11 years after surgery respectively. And, the probability of freedom from primary tissue failure was 60.4$\pm$16.9% also at 11 years The evidence of possible premature and accelerated failure of the pericardial valve in the aortic position among the young population was not clear on the age-related analysis of the structural failure, and no suggestion could be made to indicate age limit when the use of the pericardial valve would better be avoided.

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