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승모판 협착증 환자에 있어서 좌심방내 Spontaneous Echo Contrast 에 관한 연구 - 경흉부 및 정식도 심초음파도의 비교관찰 -
신선영(Sun Young Sin),윤창상(Chang Sang Yoon),강흥선(Heung Sun Kang),조정휘(Chung Whee Choue),김권삼(Kwon Sam Kim),김명식(Myung Shick Kim),송정상(Jung Sang Song),배종화(Jong Hoa Bae) 대한내과학회 1994 대한내과학회지 Vol.46 No.2
Objectives: Left atrial thrombus (LAT) has been known as a major cause of systemic arteria1 embolization in patients with mitral stenosis. This study was undertaken to compare the diagnostic efficacy of transthoracic echocardiography (TTE) with that of transesophageal echocardiography (TTE) in the detection of LAT, Additionally, we assessed the prevalence and clinical significance of left atrial SEC and the factors related to its presence in patients with mitral stenosis. Methods; The study group comprised 33consecutive patients who had mitral stenosis (MS) or mitral stenoinsufficiency, 26patients of them had atrial fibrillation (AF), 7patients had sinus rhythm. Among them, 14cases had systemic embolization. All patients were studied with transthoracic and transesophageal echocardiography. We measured left atrial dimension (LAD), mitral valve area (MVA), ejection fraction (EF), severity of mitral regurgitation, and examined the presence and location of LAT and SEC by TTE and TEE. Cardiac rhythm, history of systemic cmbolization were collected by review of the patients hospital records. Results: 1) TTE revealed left atrial SEC in only 1patient. In contrast, left atrial SEC clould be detected in 25patients by TEE. In 8patients, LAT were diagnosed by TTE, whereas detected 14cases of LAT by TEE. The difference between two methods was statistically significant (p<0 05). 2) The patients with LAT had significantly highter prevalence of SEC and AF, lower EF, lower frequency of severe mitral regurgitation than in patients without LAT (p<0 05). But, MVA and LAD were not significantly different between two groups. 3) Patients with SEC had significaotly higher frequency of AF and history of systemic embolization, more severe stenosis of MVA, lower frequency of severe mitral regurgitation than in patients without SEC (p<0, 05). But LAD and EF were not significantly different between two groups. 4) LAT or systemic embolization, or both were found in 20 of 25patients (80%) with SEC. Whereas, only 1 of 8patients (13%) without SEC had a history of arterial embolization (p<0,01), and no patient without SEC was found to have thrombus within the left atrium, Conclusion: This results suggested that TEE was more sensitive to detect left atrial SEC and LAT than TTE, and left atrial SEC was strong predictor for thrombus formation and systemic embolization in patients with mitral stenosis.
말단 회장부 궤양을 동반한 Behcet 씨 증후군 1 예
전재민(Jae Min Jeon),윤환곤(Whan Gon Yoon),권영철(Young Cheol Kwon),김경태(Kyung Tae Kim),신선영(Sun Young Shin),윤창상(Chang Sang Yoon),최성근(Seong Kuen Choi),이윤석(Yun Suk Lee),안희권(Hee Kwon Ahn),이주택(Ju Taek Lee) 대한내과학회 1994 대한내과학회지 Vol.47 No.4
The concept of Behcet`s syndrome is progressing as a systemic disease involving multiple organs and system. In 1937 Behcet described a chronic relapsing triple- symptom complex of recurrent oral ulceration, genital ulceration, and ocular inflammation. Other manifestation of the syndrome include arthritis, cutaneous vasculitis, thrombophlebitis, epididymitis, ulcers of the gastrointestinal tract, and meningoencephalitis. Recently, we experienced a case of intestinal Behcet`s syndrome with obstructive ileus A 21-year-old female patient with incomplete type of Behcet`s syndrome suffered from abdominal pain, aphthous stomatitis, and genital ulceration. The frequent obstructive site of intestine is ileocecal area. The mucosa of ileum shows large geographic ulcer with fibrous wall thickening and multiple small round ulcers with punched-out in appearance. After ileocecotomy and administration of steroid, we showed rapid & remarkable symptomatic improvement.