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고령의 호흡기 질환 환자에서 상부 위장관 내시경 검사시 폐기능 장애 정도에 따른 산소 포화도의 변화
정윤형(Yun Hung Jung),이진석(Jin Suk Lee),한종학(Jong Hak Han),김재홍(Jae Hong Kim),정동성(Dong Sung Jung),이귀래(Gwi Lae Lee),한창완(Chang Wan Han),박운식(Woon Sik Park),조영삼(Young Sam Cho),주홍돈(Hong Don Joo),두창준(Chang Joon D 대한내과학회 1995 대한내과학회지 Vol.49 No.2
N/A Objectives : We performed following experiment in order to find the relationship between impairment of pulmonary function test (PFT) and oxygen desaturation during upper gastrointestinal endoscopy examination among the elderly patients. Methods : Pulmonary function test and ABGA (arterial blood gas analysis) were performed before endoscopy. Arterial oxygen saturation and pulse rate were monitored with pulse oximeter before endoscopy until 5minutes its completion. We classified the population by control group and patients group by pulmonary function test. we classified patients group by mild group, moderate group and severe group (Table 2). Results : 1) Oxygen saturation was decreased significantly among all of groups, the most decreased within 1 minutes after insertion endoscopy and recovered soon before endoscopic completion. 2) The duration of worst SaO2 did not correlated with the pulmonary function test impairment. 3) The time of endoscopy did not correlated with decrease in SaO2 during endoscopy 4) There is decreased oxygen saturation in mild group, but no significant change from control group. 6) Pulse rate did not correlated with pulonary function test impairment. Conclualon : Oxygen saturation was decreased all groups in elderly populaton during upper gastro-intestinal endoscopy especially moderate or severe groups, therefore, incidence of cardio-pulmonary disease is increased. To prevent cardio-pulmonary complication, we should detect oxygen desaturation early by using pulse oximeter during upper gastrointestinal endoscopic procedure in moderate or severe group. If needed, termination of the procedure, oxygen supplement or assisted ventilation minimize cardiopulmonary complication.
박봉철,박문향,변종훈,이근,양영표,채동호,양수현,정윤형,김형직,조준구 대한내과학회 1992 대한내과학회지 Vol.43 No.1
Bartter's syndrome is characterized by hypokalemia, metabolic alkalosis, hyperreninemia, hyperaldosteronism, normal blood pressure, hyperplasia of the juxtaglomerular apparatus of the kidney. We have experienced a case of Batters syndrome in 54-year-old woman and diagnosed by means of the above mentioned biochemical and pathalogical studies and we have witnessed a successful response to captopril and indomethacin and spironolactone treatment. Literature was reviewed briefly.