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이장훈,김묘징,김영돈,이순민,송은송,안소윤,김천수,임재우,장미영,진현승,황종희,이우령,장윤실 대한신생아학회 2014 Neonatal medicine Vol.21 No.4
Purpose: This study was conducted to evaluate the readmission rate of preterminfants of 30-33 weeks gestational age (GA) within 1 year following discharge fromthe neonatal intensive care unit (NICU). Methods: This research was a part of the Retrospective Study to Evaluate Rehospitalization& Health Care Utilization after NICU Discharge in Preterm Infants (≤33weeks) II (RHANPI II) project conducted by the Committee on Data Collection andStatistical Analysis of the Korean Society of Neonatology. Enrolled infants (n=1,257)of 46 hospitals from April to September 2012, were retrospectively studied. Results: The average GA and birth weight of the study population was 32+2±1+1 weeksand 1,785±386 g, respectively. The cumulative readmission rate during the 360 daysfollowing discharge from the NICU was 27.3%. The cumulative readmission rateaccording to GA was 36.4%, 30.1%, 25.9% and 22.7% for infants born at 30, 31, 32 and33 weeks GA, respectively. The corresponding respiratory readmission rate was16.3%; this was 59.8% of total readmissions. There was no significant difference in therespiratory readmission rate according to GA group (log-rank test for trend, P-value=0.0558). Of the infants who were readmitted with respiratory problems, 57.0% (n=53/93) tested positive for respiratory syncytial virus (RSV). Conclusion: The cumulative readmission rate during the 360 days followingdischarge from the NICU was 27.3%. Respiratory problems were the most commoncause of readmission, and RSV was the most common virus associated with respiratoryreadmission. Additionally, there was no difference in the rate of respiratoryreadmission according to GA group.
이장훈,이정철,권진태,정태은,김미진 대한흉부외과학회 2006 Journal of Chest Surgery (J Chest Surg) Vol.39 No.8
중피낭종은 드문 종격동질환으로서 주로 우측 심장횡격막 각에서 잘 발생한다. 그러나 드물게는 비전형적인 위치에서 발생하며 특히 후 종격동에서의 발생은 매우 드물다. 교통사고로 내원한 30세 여자환자에서 우연히 심낭과 척추체 사이의 후 종격동에 위치하는 큰 낭종이 발견되었다. 낭종은 장축이 18 cm에 이르는 매우 큰 크기였으며 주로 좌측 흉강 쪽으로 커져 있었으나 환자는 증상을 호소하지 않았다. 반대측 흉강으로의 박리에 어려움이 있어서 작은 수술창을 동반한 비디오흉강경 수술로 완전 절제를 시행하였다. 장기 관찰에서 재발 없이 경과는 양호하였다.