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흉부 둔상 환자에서 심초음파도로 진단한 심손상

Other Titles
 Cardiac Injury Diagnosed with Echocardiogram in the Patient of Blunt Chest Trauma 
Authors
 박원선  ;  고신옥  ;  방은치 
Citation
 Journal of Korean Society of Anesthesiologist (대한마취과학회지), Vol.30(3) : 353-357, 1996-03 
Journal Title
Journal of Korean Society of Anesthesiologist(대한마취과학회지)
ISSN
 0302-5780 
Issue Date
1996-03
Keywords
Equipment ; pulmonary arterial catheter ; Heart ; cardiac injury ; Monitoring ; echocadiogram
Abstract
Blunt trauma of the chest and abdomen frequently result in cardiac injury. We experienced a 47 year-old male patient of myocardial contusion with aortic insufficiency after blunt chest trauma. On the secondd day after admission, the patient developed sudden hypoxemia and wide pulse pressure. A pulmonary arterial catheter was inserted and initial cardiac output and pulmonary capillary wedge pressure was 3.56L/min/m* and 32mmHg, rspectively. There was akinesia of the anterior septum, anterior wall, inferior wall and inferior septum with aortic regurgitation(I/IV), and the ejection fraction was 25% on echocardiogram. Myocardial contusion with valvular injury was suspected. Dobutamine infusion was started and after five days the pulmonary capillary wedge pressure was decreased to 14 mmHg. The ejection fraction was increased to 69% in spite of decreasing dobutamine but aortic regurgitation(II/VI) remained. Therefore echocardiogram and pulmonary artery catheterization will be helpful to diagnose suspected cardiac contusion and for better outcome.
Files in This Item:
T199600974.pdf Download
DOI
10.4097/kjae.1996.30.3.353
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Koh, Shin Ok(고신옥)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/183190
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