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조병현 ( Byung Hyun Cho ),최혜숙 ( Hye Sook Choi ),조창현 ( Chang Hyun Cho ),김이형 ( Yee Hyung Kim ),최천웅 ( Cheon Woong Choi ),박명재 ( Myung Jae Park ),유지홍 ( Jee Hong Yoo ),강홍모 ( Hong Mo Kang ) 대한결핵 및 호흡기학회 2007 Tuberculosis and Respiratory Diseases Vol.63 No.6
Mycoplasma pneumoniae is a common pathogen of community-acquired pneumonia. Mycoplasma pneumonia causes upper and lower respiratory tract symptoms in all age groups, with the highest attack rates in subjects 5 to 20 years old. In patients with mycoplasma pneumonia, the most common radiographic findings may be reticulonodular or interstitial infiltration, which have a predilection for the lower lobes. Findings that show lung collapse on a chest X-ray are very rare. We report a case of mycoplasma pneumonia that showed right upper lobe collapse. (Tuberc Respir Dis 2007;63:511-514)
파괴폐에서 발생한 대량객혈의 치료 Endobronchial Blocker를 이용하여 반대측 폐로의 흡인을 방지한 후 시행한 전폐절제술
정준영 ( Jun Young Chung ),조상호 ( Sang Ho Cho ),이은정 ( Eun Jung Lee ),김은영 ( Eun Young Kim ),박지영 ( Ji Young Park ),김대현 ( Dae Hyun Kim ),유지홍 ( Jee Hong Yoo ),최천웅 ( Cheon Woong Choi ),강경환 ( Kyung Hwan Kang ) 대한결핵 및 호흡기학회 2012 Tuberculosis and Respiratory Diseases Vol.72 No.1
Untreated massive hemoptysis, especially in patients with tuberculous-destroyed lung, is a serious complication resulting in considerable morbidity and mortality. We report a case of a patient who had active tuberculosis and a destroyed left lung with massive bleeding. He was transferred to our clinic with intubation of a right-sided Robertshaw double lumen tube and right upper lobe collapse likely due to tube malposition that was presented on chest X-ray. Because hemoptysis had persisted after bronchial arterial embolizaton, we replaced the double lumen tube with a conventional endotracheal tube and inserted an endobronchial blocker into the left main bronchus through an endotracheal tube guided by bronchoscopy to prevent aspiration of blood into the right lung. Left pneumonectomy was performed and hemotpysis was ceased. We suggest that the use of an endobronchial blocker followed by surgery may be a safe and effective modality of treatment in patients with persistent bleeding after bronchial arterial embolization.
치료계획시스템에서 전산화단층촬영과 자기공명영상의 영상융합 재현성 및 선량평가
최재혁(Jae-hyock Choi),박철수(Cheol-soo Park),서정민(Jeong-Min Seo),조재환(Jae-Hwan Cho),최천웅(Cheon-Woong Choi) 한국자기학회 2014 韓國磁氣學會誌 Vol.24 No.6
The purpose of this study is to evaluate the reproducibility and usefulness of an image through the fusion of the computed tomography image and the magnetic resonance image by using a self-produced phantom when planning the treatment, and also to compare and analyze the target dose on the acquired image. The size of small hole and the reproducibility of capacity existed in the phantom on the image of the phantom obtained by the computed tomography and the magnetic resonance image of the phantom scanning with different intensity of magnetic field are compared, and the change of dose in the random target is compared and analyzed.
이치훈 ( Chi Hoon Lee ),강성욱 ( Sung Wook Kang ),김동희 ( Dong Hee Kim ),민준기 ( Joon Ki Min ),김이형 ( Yee Hyung Kim ),최천웅 ( Cheon Woong Cho ),유지홍 ( Jee-hong Yoo ) 대한내과학회 2013 대한내과학회지 Vol.85 No.2
랑게르한스 세포 조직구증은 드문 조직구 질환의 하나로서 랑게르한스 세포가 증식하여 뼈를 비롯한 여러 장기를 침범하는 질환이다. 성인에서 폐와 함께 척추를 침범한 경우는 드물게 보고되고 있다. 저자들은 흡연력이 있는 젊은 남성에서 폐 병변은 금연에 의해 호전되었지만 척추 병변은 금연에도 불구하고 악화되어 심한 통증을 유발하고 척추 안정성에 문제를 보여 이를 수술적으로 치료한 1예를 경험하였기에 보고하는 바이다. Langerhans cell histiocytosis (LCH) is a proliferative disease that shares phenotypic characteristics with Langerhans cells (LCs) and involves multiple organs. Here, we report a case of LCH in a 36-year-old male simultaneously involving the lungs and thoracic spine. Chest computed tomography (CT) showed multifocal thin-walled cysts and ill-defined nodular opacities primarily in the bilateral upper and middle lung lobes that fluctuated with smoking. Despite improvement of pulmonary lesions after smoking cessation, osteolytic lesion of thoracic vertebra was aggravated. Symptoms were not improved after nerve block, suggesting vertebral instability that necessitated surgical mass removal and posterior fusion. Microscopically diffuse proliferation of immature, rounded LCs and inflammatory cell infiltration was noted. Although pulmonary LCH in an adult is a benign disease that is usually resolved spontaneously after smoking cessation, surgical treatment should be considered in a case of spinal LCH. (Korean J Med 2013;85:199-204)