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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 968 - 975 (8page)
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Purpose: We evaluated the clinical characteristics and courses of patients with congenitalcystic adenomatoid malformation (CCAM) complicated by pneumonia. Materials and Methods: We retrospectively reviewed the records of 19 adult patientswith surgically confirmed CCAM between March 2005 and July 2013. Results:Eighteen of nineteen patients presented with acute pneumonia symptoms and signs, and inflammatory markers were elevated. On chest computed tomography, all 18 patients had parenchymal infiltration around cystic lesions, 17 (94%) had an air-fluid level, and 2 (11%) had pleural effusion. After antibiotics treatment for a median of 22 days prior to surgery, all acute pneumonia symptoms and signs disappearedin 17 (94%) patients at a median of 10 days. Improvements and normalizationof inflammatory marker levels, occurred in 17 (94%) and 9 (50%) patients at medians of 8 and 17 days, respectively. Radiological improvement was evident in 11 (61%) patients, at a median of 18 days, of these patients, partial radiological improvementoccurred in 10 (56%) and complete radiological resolution in only 1 (6%). One patient (6%) did not improve in terms of clinical, laboratory, or radiologicalfindings despite antibiotic treatment for 13 days. Consequently, after 17 (94%) elective and 1 (6%) emergency surgeries, all patients improved without developmentof complications. Conclusion: We described the clinical characteristics and courses of patients with CCAM complicated by pneumonia, and showed that surgerymay be performed safely after clinicolaboratory improvement is attained upon antibiotic treatment, even in the absence of complete radiological resolution.
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참고문헌 (22)
참고문헌 신청
Benouaich V / 2009 / Malignancy of congenital cystic adenomatoid malformation of lung in aged / Asian Cardiovasc Thorac Ann 17 : 634 ~ 636
Carratala J / 2005 / Outpatient care compared with hospitalization for community-acquired pneumonia: a randomized trial in low-risk patients / Ann Intern Med 142 : 165 ~ 172
Ch’In KY / 1949 / Congenital adenomatoid malformation of one lobe of a lung with general anasarca / Arch Pathol(Chic) 48 : 221 ~ 229
Cloutier MM / 1993 / Congenital cystic adenomatoid malformation / Chest 103 : 761 ~ 764
Collins AM / 2009 / Congenital cystic adenomatoid malformation of the lung: hazards of delayed diagnosis / Respirology 14 : 1058 ~ 1060
Carratala J / 2005 / Outpatient care compared with hospitalization for community-acquired pneumonia: a randomized trial in low-risk patients / Ann Intern Med 142 : 165 ~ 172
Ch’In KY / 1949 / Congenital adenomatoid malformation of one lobe of a lung with general anasarca / Arch Pathol(Chic) 48 : 221 ~ 229
Cloutier MM / 1993 / Congenital cystic adenomatoid malformation / Chest 103 : 761 ~ 764
Collins AM / 2009 / Congenital cystic adenomatoid malformation of the lung: hazards of delayed diagnosis / Respirology 14 : 1058 ~ 1060
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