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경피적 확장 기관절개술(Percutaneous Dilatational Tracheostomy)의 시술 용이성 및 합병증
안종준 ( Jong Joon Ahn ),고윤석 ( Youn Suck Koh ),진재용 ( Jae Yong Chin ),이기만 ( Ki Man Lee ),박완 ( Wann Park ),홍상범 ( Sang Bum Hong ),심태선 ( Tae Sun Shim ),이상도 ( Sang Do Lee ),김우성 ( Woo Sung Kim ),김동순 ( Dong Soo 대한결핵 및 호흡기학회 1998 Tuberculosis and Respiratory Diseases Vol.45 No.6
산소 에틸렌 토치로 동파이프 절단작업 후 발생한 이산화질소 중독에 의한 비심인성 폐부종 1례
제갈양진,안종준,서광원,차희정,권운정,김양호,JeGal, Yang-Jin,Ahn, Jong-Joon,Seo, Kwang-Won,Cha, Hee-Jeong,Kwon, Woon-Jung,Kim, Yang-Ho 대한임상독성학회 2006 대한임상독성학회지 Vol.4 No.2
Welders are exposed to a number of hazards including metal fumes, toxic gases, electricity, heat, noise, and radiation such as ultraviolet and infrared light. We encountered a patient who developed non-cardiogenic pulmonary edema within a day after cutting copper pipe with an oxyethylene torch. The patient was a 26-year-old welder. He complained of dyspnea, generalized myalgia, and febrile sensation the following morning. The patient's chest X-ray and chest CT scan showed extensively distributed and ill-defined centrilobular nodules. Both his symptoms and chest X-ray abnormalities improved spontaneously. We attributed the patient's symptoms to non-cardiogenic pulmonary edema due to nitrogen dioxide, reasoning that: 1) the pipe consisted only of copper, according to material safety data sheet (MSDS); 2) a previous report in the literature demonstrated increased nitrogen dioxide levels under similar conditions; 3) the patient's clinical course and radiologic findings were very reminiscent of non-cardiogenic pulmonary edema following accidental exposure to nitrogen dioxide.
최승원 ( Seung Won Choi ),안종준 ( Jong Joon Ahn ),정현철 ( Hyun Chul Jung ),홍은석 ( Eun Seog Hong ),이지호 ( Ji Ho Lee ),김양호 ( Yang Ho Kim ) 대한천식알레르기학회 2005 천식 및 알레르기 Vol.25 No.4
Acid anhydrides, such as phthalic anhydride (PA) or trimellitic anhydride, are low molecular weight reactive chemicals that has been widely used in the manufacture of plastics and paints. They have been reported to cause rhinitis, dermatitis, asthma, and hemorrhagic alveolitis. These adverse effects are a result of direct irritation to the mucosa or its ability to cause immune reaction. We report a 32-year-old man with PA induced asthma, confirmed by specific inhalation challenge. He complained of recurrent chest tightness, sneezing, and dyspnea while at work. These symptoms develop 3 years after exposure to this chemical. Inhalation challenge with PA fume reproduced his symptoms and demonstrated an early asthmatic response. Specific IgE antibody against to PA was elevated. (Korean J Asthma Allergy Clin Immunol 2005;25:320-323)
이달의 X-선 : Polymethylmethacrylate를 이용한 경피적 척추성형술 후 흉부 X선에서 관찰된 다수의 양측성, 분지상 선상 음영
조준현 ( Jun Hyun Cho ),정종필 ( Jong Pil Jung ),음준범 ( Jun Bum Eum ),서광원 ( Kwang Won Seo ),제갈양진 ( Yang Jin Jegal ),최성훈 ( Seong Hoon Choi ),안종준 ( Jong Joon Ahn ) 대한결핵 및 호흡기학회 2006 Tuberculosis and Respiratory Diseases Vol.61 No.2
경피적 척추성형술은 PMMA를 붕괴된 척추체에 경피적으로 주사하여 통증을 완화시키고 척추체를 구조적으로 보강하는 시술이다. 척추성형술은 아주 효과적인 치료방법이기는 하나 합병증이 전혀 없지는 않다. 척추성형술의 많은 합병증은 주로 PMMA 누출과 관련되어 있다. 대부분의 누출은 증상이 없고 또한 폐색전증은 매우 드물지만 시술도중 PMMA의 혈관내 이동을 조기에 발견하지 못할 때 발생할 수 있다. 저자들은 천식으로 인한 기침으로 내원한 환자의 흉부X선에서 우연히 PMMA에 의한 폐색전증을 진단하였기에 문헌 고찰과 함께 보고하는 바이다. Percutaneous vertebroplasty consists of the percutaneous injection of polymethylmethacrylate (PMMA) cement into a collapsed vertebral body in order to obtain pain relief and mechanically strengthen the vertebral body. This procedure is now extensively used in treating osteoporotic vertebral compression fracture. It is an efficient treatment, but it is not free of complications. Most complications after vertebroplasty are associated with PMMA leakage. Pulmonary embolism of PMMA is rare, but this can occur when there is a failure to recognize venous migration of cement early during the procedure. We encountered a case of a patient with asymptomatic pulmonary embolism because of PMMA after percutaneous vertebroplasty. Chest X-ray and CT scanning revealed numerous tubular branching opacities that corresponded to the pulmonary vessels at the segmental and subsegmental levels. (Tuberc Respir Dis 2006; 61: 184-188)
특발성 폐동맥고혈압과 만성혈전색전성 폐고혈압의 임상상 비교
김현국 ( Hyun Kuk Kim ),나주옥 ( Joo Ock Na ),안종준 ( Jong Joon Ahn ),박용범 ( Yong Bum Park ),임재민 ( Jae Min Lim ),홍상범 ( Sang Bum Hong ),오연목 ( Yeon Mok Oh ),심태선 ( Tae Sun Shim ),임채만 ( Chae Man Lim ),고윤석 ( Youn S 대한결핵 및 호흡기학회 2005 Tuberculosis and Respiratory Diseases Vol.59 No.2
임상 연구 : 혈액투석 환자에서 Tunneled Cuffed Central Venous Catheter와 동정맥루간의 투석량과 투석효율의 차이
임정현 ( Jung Hyun Lim ),최승원 ( Seung Won Choi ),안종준 ( Jong Joon Ahn ),박종하 ( Jong Ha Park ),정현철 ( Hyun Chul Chung ),신상훈 ( Sang Hun Shin ),이지호 ( Ji Ho Lee ),이종수 ( Jong Su Lee ) 대한신장학회 2006 Kidney Research and Clinical Practice Vol.25 No.4
29세 남자에서 다발성 낭종성 병변으로 진행한 폐선암 1예
이현성 ( Hyun Seong Lee ),전재완 ( Jae Wan Jeon ),김재희 ( Jae Hee Kim ),주형욱 ( Hyeong Uk Ju ),배중기 ( Joong Gi Bae ),민영주 ( Young Ju Min ),안종준 ( Jong Joon Ahn ),서광원 ( Kwang Won Seo ),제갈양진 ( Yangjin Jegal ),권운정 ( 대한결핵 및 호흡기학회 2012 Tuberculosis and Respiratory Diseases Vol.72 No.2
Cystic lesions or progressive cystic changes in adenocarcinoma of the lung have rarely been reported. We report a case of lung adenocarcinoma that progressed from ground-glass opacities (GGOs) and consolidations or nodules to extensive cystic lesions during 12 months in a young adult patient. A 29-year-old male was initially diagnosed with primary lung adenocarcinoma by transbronchial lung biopsy of the right lower lobe and lung to lung metastasis in both lungs according to imaging findings. The initial chest computed tomography (CT) scans showed multifocal GGOs, consolidations, and nodules in both lungs. Despite treatment with palliative chemotherapy, the patient`s follow-up CT scans showed multiple, cystic changes in both lungs and that the lesions had progressed more extensively. He died of hypoxic respiratory failure one year after his diagnosis.
박종호,민영주,윤제현,한동하,안종준,이기만,정윤성,이선호,박재후,김성률 대한내과학회 2002 대한내과학회지 Vol.63 No.3
Bone marrow necrosis is most frequently diagnosed at postmortem examination. Antemortem diagnosis is uncommon. However, organized studies using either bone marrow biopsy specimens or autopsy material showed that bone marrow necrosis can be demonstrated in approximately one third of specimens. Bone marrow necrosis has been observed during the course of a wide variety of diseases, most commonly in association with acute and chronic leukemia, carcinoma, malignant lymphoma, infections, and sickle cell disease. We report one case of bone marrow necrosis due to miliary tuberculosis. Although appropriate diagnosis and treatment were performed, the patient expired.