Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Arginine Vasopressin Therapy of Vasodilatory Shock after Cardiopulmonary Bypass - Two cases-

체외 순환 후 발생한 혈관 확장성 쇼크에 대한 바소프레신 투여요법 -2예 보고-

  • Ahn Young-Chan (Department of Cardiovascular and Thoracic Surgery, Gachon Medical School, Gil Heart Center) ;
  • Park Chul-Hyun (Department of Cardiovascular and Thoracic Surgery, Gachon Medical School, Gil Heart Center) ;
  • Lee Jae-ik (Department of Cardiovascular and Thoracic Surgery, Gachon Medical School, Gil Heart Center) ;
  • Jeon Yang-Bin (Department of Cardiovascular and Thoracic Surgery, Gachon Medical School, Gil Heart Center) ;
  • Park Kook-Yang (Department of Cardiovascular and Thoracic Surgery, Gachon Medical School, Gil Heart Center)
  • 안영찬 (가천대학교 의과대학 길병원 심장센터 흉부외과) ;
  • 박철현 (가천대학교 의과대학 길병원 심장센터 흉부외과) ;
  • 이재익 (가천대학교 의과대학 길병원 심장센터 흉부외과) ;
  • 전양빈 (가천대학교 의과대학 길병원 심장센터 흉부외과) ;
  • 박국양 (가천대학교 의과대학 길병원 심장센터 흉부외과)
  • Published : 2006.01.01
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Abstract

Vasodilatory shock has been implicated in life-threatening complications after cardiac surgery. This syndrome may result from the vasopressin deficiency following cardiopulmonary bypass (CPB), which do not respond to fluids or usual intravenous inotropes. We used arginine-vasopressin in adults with vasodilatory shock coming on cardiopulmonary bypass. Therefore, we report these cases with a review of articles.

혈관 확장성 쇼크는 심장 수술 후 발생할 수 있는 치명적인 합병증이다. 이러한 혈관 확장성 쇼크는 체외 순환 후 바소프레신의 결핍으로 발생하며, 수액 공급이나 심근 수축제에 잘 반응하지 않는 경우가 많다. 저자들은 체외 순환 중지 후 혈관 확장성 쇼크가 발생한 환자들에서 바소프레신을 사용하여 성공적으로 치료하였기에 문헌 고찰과 함께 보고하는 바이다.

Keywords

References

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