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RISS 인기검색어
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- 저자 : 양종목 ( Yang Jong Mog ) (검색결과 5 건)
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백상홍 ( Baeg Sang Hong ),양종목 ( Yang Jong Mog ),정욱성 ( Jeong Ug Seong ),전승석 ( Jeon Seung Seog ),노태호 ( No Tae Ho ),박인수 ( Park In Su ),김재형 ( Kim Jae Hyeong ),최규보 ( Choe Gyu Bo ),홍순조 ( Hong Sun Jo ) 대한내과학회 1992 대한내과학회지 Vol.42 No.4
발작성 심실상성빈맥 환자에서 전기생리학적 검사를 실시하여 빈맥이 유발된 26명을 대상으로 빈맥의 발생기전에 따른 임상특징 및 빈맥시 심전도 및 전기생리학적 검사소견을 분석하여 다음과 같은 결과를 얻었다. 1) 전기생리학적 검사에서 계획전기자극에 의한 빈맥의 유발율은 76%였다. 2) 발작성 심실상성 빈맥의 발생기전은 불현성 우회로를 이용한 방실회귀가 80%로 가장 흔하였고 방실결절회귀 15%, 자동성 심방빈맥이 5%였다. 3) 환자는 연령 및 빈맥시 심박동수는 빈맥기전에 따라 유의한 차이가 없었으나, 방실회귀성 빈맥군이 비교적 젊은 연령 및 빠른 심박동수를 보였다. 4) 기능적 각차단은 방실회귀에서 4예 관찰되었다. 5) QRS alternans는 방실회귀에서 3예 관찰되었다. 6) 빈맥이 심전도에서 P파 및 QRS군 관계의 분석(RP/RR) 이 회귀성 빈맥기전의 감별에 유용하였다(p<0.05). 7) His속 전기도에서 VA 간격은 방실회귀성 빈맥시 70 msec 이상(103.1±18.9msec), 방실결절회귀 빈맥에서 60 msec 이하 (36.6±25.1 msec)로 빈맥기전 감별에 유용하였다(p<0.05). 8) 방실회귀성 빈맥시 심전도의 유도 I의 P파 모양이 부전도로 위치 추정에 도움이 되었다. In this study, the frequency of mechanisms of supraventricular tachycardia (SVT) were evaluated by analyzing the electrophysiologic findings of 26 patients with SVT without preexicitation between November 1987 and August 1990. The induction of tachycardia by programmed electrical stimulation and the determination of mechanism of SVT were performed by baseline electrophysiologic (EP) study in drug free status. The study group included 14 males and 12 females with ages rangiang from 16 to 54 years (mean±SD; 35.6±12.8). All patients had structurally normal heart except the 7 mitral value prolapse. We also compared the clinical findings, surface EKG during tachycardia and EP study findings according to the mechanism of SVT. The results were as follows: 1) In EP study, programmed stimulation induced sustained SVT was 20 of the 26 patients(induction rate 76 %). 2) Atrioventricular reentrant tachycardia (AVRT) using concealed bypass tract was the most common mechanism of SVT (80%), atrioventricular nodal reentrant tachycardia (AVNRT) was the second (15%) and the remainder was increased automaticity of the atrium (5%). 3) The age of the patients and their heart rates during tachycardia were not significantly different among the mechanism of SVT. 4) Functional bundle branch block during reciprocating tachycardia appeared in the AVRT group (4/16 cases). 5) The alternations of QRS during reciprocating tachycardia appeared in the AVRT group (3/16 cases). 6) The relationship between P wave and QRS complex (RP/RR) during tachycardia was useful in differentiating the mechanism of SVT (p<0.05). 7) The ventriculoatrial interval on His-bundle electrogram was more than 70 msec in the AVRT group, whereas this was less than 60 mesc in the AVNRT group. 8) In the AVRT group. P wave morphology and axis in the lead I was useful to determine the site of accessory pathway.
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인공 승모판 대치술후 정식도 심초음파도로 발견된 좌심방 혈전의 치험 1예
양종목,장창훈,백상홍,정욱성,전승석,최규보,홍순조 대한내과학회 1992 대한내과학회지 Vol.42 No.4
1) 경식도 심초음파도는 경흉부 심초음파도로는 잘 보이지 않은 좌심방의 이상을 잘 볼 수 있다. 2) urokinase는 새롭게 생긴 혈전의 용해에 유용할 것으로 사료된다. Thrombi located in the left atrial appendage (=LAA) are frequently not detected with conventional two dimensional echocardiography (=TTE). The transesophageal echocardiographic (TEE) approach readily visualizes left atrial morphology and may be used a s an alternative. We report a case of LAA thrombus detected by TEE but not TTE. The patient was treated with Saint Jude Medical prosthetic valve (31 mm) for severe mitral stenosis and moderate mitral regurgitation. Thereafter LAA thrombus was detected by TEE. Intravenous urokinase was used. But right distal popliteal arterial obstruction was developed during intravenous urokinase infusion. Intraarterial urokinase was used. LAA thrombus was disappeared, and right distal popliteal arterial obstruction was partially lysed. The results were as follows: 1) Left atrial thrombi, which was not visualized by TTE, were detected by TEE. 2) Urokinase was useful for newly formed thrombus.
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만성 신부전증 혈액투석 및 CAPD 환자에서 산염기 균형의 변화
김인식,강성구,장윤식,윤영석,방병기,이흥현,표석주,양종목 대한내과학회 1986 대한내과학회지 Vol.30 No.1
To evaluate the changes of acid-base balance in chronic uremia, we performed analysis of arterial blood gas in 22 subjects on non-dialytic chronic renal failure(CRF), 13 subjects on continuous ambulatory peritoneal dialysis(CAFD), and 15 subjects on maintenance hemodialysis(HD). The results were as follows: 1) The high values of arterial Ph(p$lt;0.001, respectively), HCO3 -(p$lt;0,01, p$lt;0.001) and low value of base excess(p$lt;0. 001, respectively) were showed in CAPD group compared with non-dialytic CRF group & pre-4ialytic HD group. 2) There was no statistical differences of value of arterial Ph, HCO3- & base excess between nondialytic CRF group & pre-dialytic HD group. Also, same fin4ings of their values were noted between CAPD group k post-dialytic HD group. 3) The value of arterial Ph in post-dialytic HD group was significantly higher than that of non-dialytic CRF group & predialytic HD group(p$lt; 0.001, respectively). However, the value of arterial Hco-3 between above two groups was not different. 4) The value of arterial PCO in post-dialytic HD group was lower than that of non-dialytic HD group & predialytic HD group(p$lt;0. 01, respectively). However, there was no difference of arterial PCO2 values between each other group. 5) The arterial PO2 value was not significantly different between each group. In conclusion, the acid-base status in patient with chronic uremia were effectively corrected & sustained in CAPD group than those of maintence HD and non-dialytic CRF group.
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Head-up Tilt Test 로 진단된 혈관 미주 신경성 실신 치험 1 예
김재형,윤호중,홍순조,정욱성,채장성,최규보,양종목,노태호 대한내과학회 1992 대한내과학회지 Vol.43 No.1
Vasovagal syncope is a common cause of unexplained syncopes. Rut even after clinical and invasive testing, a definite diagnosis is frequently not est8blished. We experienced a case of vasovagal syncope, diagnosed by head-up tilt test and treated by dual chamber pacemaker and beta blocker. The head-up tilt test may be a useful procedure in the investigation of vasovagal syncope, and bradyarrhythmia associated with vasavagal syncope may be suitable for treatment by permanent dual chamber pacemaker and β-blocker.
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