http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
- 中文 을 입력하시려면 zhongwen을 입력하시고 space를누르시면됩니다.
- 北京 을 입력하시려면 beijing을 입력하시고 space를 누르시면 됩니다.
RISS 인기검색어
- 검색키워드
- 저자 : 유영선 (검색결과 499 건)
- 무료
- 기관 내 무료
- 유료
-
폐 Aspergillosis의 임상적 고찰 : 10 Cases Report
유영선,조명준,정혜영 최신의학사 1977 最新醫學 Vol.20 No.1
Aspergillosis is one of the first visceral mycoses to be recognized in man. Pulmonary infection of this genus of Aspergillus is fumigatus, most commonly presenting as secondary invasion of pre-existing cavitary lesion. During the period of January, 1962 to October, 1976, the authors have experienced 10 cases of pulmonary aspergillosis in Chest Surgery Department, N. M. C. , all the cases had been treated with anti-tuberculous drugs for the periods ranging from 2 to 20 years under the diagnosis of pulmonary tuberculosis. Six of ten were male and four were female. The most common presenting symptoms were intermittent hemoptysis, blood tinged sputum, increased expectoration and cough for a long time. Eight of ten were performed pulmonary resectional surgery, 3 pneumonectomies, 5 lobectomies. All of the cases operated were confirmed by histopathological examination to be aspergillosis superimposed on underlying tuberculosis, bronchiectasis. One patient died following surgery because of acute hepato-renal insufficiency during postopertive Amphotericin B therapy. Remaining all the cases has been doing well in this follow-up period ranging from 6 months to 14 years.
-
유영선 대한흉부심장혈관외과학회 1991 Journal of Chest Surgery (J Chest Surg) Vol.24 No.11
Between January 1981 and January 1991, 554 patients underwent prosthetic valve replacement. A bioprosthetic valve was replaced in 238 cases and mechanical valve 316 cases. Thirty-eight patients underwent 40 reoperations for repair or replacement, an average of 53.6 months after initial implantation. There were 21 women and 19 men, aged 12 to 60 years[mean 35.3]. A bioprosthetic valve was implanted in 31 cases and a mechanical valve in 9 cases for initial operation. Indications for reoperation were primary tissue failure in 23 cases[57.5%], endocarditis in 9[22.5%], periprosthetic leak in 4[10%]. and valve thrombosis in 4[10%]. Operations performed included 5 aortic valve replacements, 26 mitral valve replacement, 8 double valve replacements, and 1 thrombectomy. A mechanical valve was replaced in 33 cases[84.6%] and a bioprosthesis in 6[15.4Zo] for reoperation. A second reoperation was required in 2 patients. Surgical mortality was 10% . Among the 34 early survivors followed-up for an average of 19.8 months. there was 1 late death and 3 were lost to follow-up. Among the 30 late survivors being followed up, 28[93.3%] remained in New York Heart Association Class I or II and two in Class III [6.7%].
-
유영선 대한흉부심장혈관외과학회 1981 Journal of Chest Surgery (J Chest Surg) Vol.14 No.4
Thirty-five cases of heart disease were operated on with cardiopulmonary bypass between November, 1980 and September, 1981. 1. There were 8 cases of congenital anomaly and 17 cases of acquired heart diseases. 2. There were 7 male and ] 8 female patients, with a mean age of 21 .9 years [range 7 to 42 years]. 3. There were 2 cases of valve replacement cases with operative mortality of 8.3%. 4. Operative mortality for congenital anomaly was ~ 6.7% and 5.9% for acquired heart diseases. 5. Over all operative mortality was 11.4%.
-
유영선,유회성 대한흉부심장혈관외과학회 1974 Journal of Chest Surgery (J Chest Surg) Vol.7 No.2
Clinical observations were made on 513 cases of pulmonary resection for tuberculosis, those were treated at the Department of Thoracic Surgery in National Medical Center from January 1964 to December 1973. 1. The ratio of male to female cases of operation was 2.8:1 in male predominence and age from 21 to 30 occurred 74.3% of the total cases. 2. The extent of disease showed 59.3% moderately advanced, 38.4% far advanced and 2.3% minimal cases. Duration of chemotherapy before surgery was more than one year in 92.7% and only 7.3% was treated less than one year. Preoperative sputum examination for AFB was persistent negative in 8.6,% of cases. 3. Different operative procedures were performed in 513 cases, lobectomy in 230, pneumonectomy and Pleuropneumonectomy in 172, segmentectomy in 63, lobectomy and supplemental segmentectomy with conventional thoracoplasty in 32 cases. 4. The postoperative complications occurred in 67 cases [13.0%]. Of these complications, bleeding in 4.6% , dead space problem in 2.5% and empyema with or without bronchopleural fistula occurred in 2.3% of cases. 5. Overall mortality within 5 months postoperative period was 1.5,0/0 and the most common causes of death were due to shock and empyema with bronchopleural fistula. 6. In all our 867 cases of report I and II, complications occurred in 13.9% and mortality rate was 1.8%.
-
-
유영선,최세영 대한흉부심장혈관외과학회 1996 Journal of Chest Surgery (J Chest Surg) Vol.29 No.12
계명대학교 의과대학 흉부외과학교실에서는 1989년 9월부터 1996년 3월까지 13명의 판막혈전증환자에서 16례의 재수술을 시행하였다. 연령분포는 32세부터 63세까지로 평균연령은 45.2세였으며 남여비는 1:2.3이었다. 판막치 환술후 재수술까지 걸린 기간은 평균 27.8개월이었으며 입원후 수술시까지 걸린 시간은 평균 33.5시간이 있다. 술전 UYHA 기능분류 4도가 12례(75%)였으며 이중 6례가 쇽상태 였다. 재수술은 판막치 환술이 15례, 혈전제거술만 시행한 경우가 1례있었다. 수술사망은 4례(25%)였으며 사망원인은 패혈증이 2례. 저심박출증이 2례였다. 술후 평균 30.3개월 추적조사하였고 술후 UYHA기능분류는 평균 1.2로 양호하였으며 만기 사망례는 없었다. 판막혈전증에 대한 재수술요법은 조기 진단하여 환자상태가 비교적 안정적일때 수술하는 것이 수술사망을 줄이는 방법으로 사료된다. From September 1989 to March 1996, 13 patients with prosthetic valve thrombosis underwent reoperdtion on 16 occasions. The mean interval between implantation and reoperation was 27.8 months. The anticoagulation status was inadequate in 44% of th Instances. The majority(75%) were in NYHA functional class IV, 6 of them being in shock. Reoperation was performed for valve replacement(15 of 16 occasions) or thrombectomy(1 of 16 occasions) within 3 to 192 hours(mean 33.5 hours). Operative mortality at reoperation was 25%(4 patients). Re-thrombosis occurred In 3 patients. Long-term outcome was satisfactory in all survivors with a mean follow-up of 30.B months. The present results indicate that an early diagnosis and prompt surgical intervention is needed to decrease operative mortality.
-
-
-
-
코리아스칼라연관 검색어 추천
이 검색어로 많이 본 자료
활용도 높은 자료
