http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
관상동맥 질환에서 도플러 심초음파도로 측정한 확장기 좌심실기능의 지표와 혈역학적 소견과의 비교 검토
임헌관,기신영,유창범,최태명,김성구,권영주 순천향의학연구소 1995 Journal of Soonchunhyang Medical Science Vol.1 No.1
Background : Left ventricular diastolic dysfunction is now recognized as a significant cause of cardiac symptoms even in patient with normal systolic ventricular function. During the last several years, the use of Doppler echocardiography for assessing left ventricular diastolic function has attracted increased attention. Doppler study have demonstrated that patients with ischemic heart disease have abnormal diastolic filling pattern suggesting impaired relaxation. Methods : This study was designed to correlate Doppler mitral flow velocity patterns and measuared variance with hemodynamic findings in 33 patients: 10 with myocardial infarction(group 1), 10 with angina pectoris(group 2) and 13 with no coronary disease(group 3). Results: 1. E/A ratio (0.87±0.24 m/sec versus 1.09±0.91 m/sec, P<0.05) was lower in group 1 than in group 3. 2. Significant correlation were demonstrated between pulmonary capillary wedge pressure (PCWP) and isovolumic relaxation time(IVRT) (r=-0.58; p<0.001), and E velocity (r=0.61; p<0.005). 3. IVRT was (61±30msec versus 92±35msec, p<0.05) shorter in patients with PCWP>10mmHg than in patients with PCWP≤10mmHg. Conclusion: Doppler mitral flow recordings have partially clinical potentiality in assessing left ventricalar diastolic function in patient with ischmic heart disease.
신장과 비장에 다발성 경색을 동반한 렙토스피라병 1 예 보고
백진기,김종봉,양동호,송옥평,문수남,김표년,홍세용,추원석,봉형근,임헌관,차미경,조무식 대한내과학회 1994 대한내과학회지 Vol.46 No.2
Leptospirosis is an acute disease characterized by the symptoms of fever, myalgia, headache, and blood-tinged sputum. One of the prominent features in leptospirosis is hemorrhagic diasthesis, which is attributed to capillary injury of uncertain nature. Pathogenically the vascular damage has been elucidated to begin with increased permeability prior to endothelial necrosis. However, as different from the previously reported hemorrhagic complications there have been reported a few cases of leptospirosis complicated by infarction of the organs. We experienced a case of leptospirosis which was confirmed by passive hemagglutination antibody test, with multiple renal and splenic infarctions in a 17-year-old school girl. The diagnosis of the infarction was made by abdominal sonography, abdominal CT (computed tomography), and selective renal angiography which revealed multiple well defined lesions and hypovascularity on both kidneys. In this case the mechanism of infarction of the kidneys and spleen is uncertain. The serum levels of FDP and fibrinogen on admission were slightly increased, but not significant. The total fibrinolytic activity in euglobulin fraction was found to be decreased during the progression of the disease. There were no positive findings suggesting diffuse intravascular coagulation except for the slightly increased level of serum FDP. Her symptoms and laboratory findings were nearly normalized 2 weeks after treatment. And she was discharged with favorahle condition. We present one case of leptospirosis which showed decreased fibrinolytic activity throughout the progression of the disease, and complicated by infarction of the kidneys and spleen.