Journal of Yeungnam Medical Science
- 제25권1호
- /
- Pages.50-57
- /
- 2008
- /
- 2799-8010(eISSN)
중증 폐동맥고혈압이 동반된 만성폐쇄성폐질환 1 예
Chronic Obstructive Pulmonary Disease with Severe Pulmonary Hypertension - A Case Report -
- 박찬서 (영남대학교 의과대학 내과학교실) ;
- 진현정 (영남대학교 의과대학 내과학교실) ;
- 김석민 (영남대학교 의과대학 내과학교실) ;
- 손창우 (영남대학교 의과대학 내과학교실) ;
- 유성근 (영남대학교 의과대학 내과학교실) ;
- 정진홍 (영남대학교 의과대학 내과학교실) ;
-
이관호
(영남대학교 의과대학 내과학교실)
- Park, Chan-Soh (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
- Chin, Hyun-Jung (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
- Kim, Seok-Min (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
- Son, Chang-Woo (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
- Yu, Sung-Ken (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
- Chung, Jin-Hong (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
-
Lee, Kwan-Ho
(Department of Internal Medicine, College of Medicine, Yeungnam University)
- 발행 : 2008.06.30
초록
Pulmonary hypertension is an increase in blood pressure in the pulmonary artery, pulmonary vein or pulmonary capillaries. Depending on the cause, pulmonary hypertension can be a severe disease with markedly decreased exercise tolerance and right-sided heart failure. Pulmonary hypertension can present as one of five different types: arterial, venous, hypoxic, thromboembolic, or miscellaneous. Chronic obstructive pulmonary disease with severe pulmonary hypertension is a rare disease. A 52-year-old man presented with a complaint of aggravating dyspnea. The mean pulmonary arterial pressure was 61.5 mmHg by Doppler echocardiogram. The patient was prescribed diuretics, digoxin, bronchodilator, sildenafil, bosentan and an oxygen supply. However, he ultimately died of cor pulmonale. Thus, diagnosis and early combination therapy are important.