• Title/Summary/Keyword: 혈관 손상

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특집 : 미세혈관 합병증 - 미세혈관 위험인자 II '고혈당' - 고혈압, 왜 문제가 되는가?

  • 사단법인 한국당뇨협회
    • The Monthly Diabetes
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    • s.259
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    • pp.32-33
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    • 2011
  • `혈관병'이라 불리는 당뇨병은 고혈당으로 인해 혈관이 손상되는 병이다. '합병증이 발생하는 원인에는 고혈압이나 고지혈증 등과 같은 위험요소들도 영향을 끼치지만 많은 부분이 고혈당에 의해 유발한다. 고혈당이 무서운 이유는 혈당이 높아져도 뚜렷한 증상이 없다는 것이다. 고혈당의 심각성과 혈당조절의 중요성에 대해 알아보자.

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Management of Vascular Injuries to the Extremities after Trauma (외상 후 사지 혈관손상의 치료)

  • Kim, Han Yong;Park, Jae Hong;Kim, Myoung Young;Hwang, Sang Won
    • Journal of Chest Surgery
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    • v.42 no.1
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    • pp.46-52
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    • 2009
  • Background: Vascular injuries to the extremities are potentially devastating and they can lead to limb loss and mortality if they are not appropriately managed. The vascular trauma caused by traffic and industrial accidents has recently increased according to the developing industry and transport system in Korea. Early recognition and treatment of these injuries are mandatory to achieve satisfactory outcomes. Material and Method: We retrospective reviewed 43 patients with vascular injuries that were due to blunt and penetrating trauma and they underwent emergency operations from January of 1998 to December of 2006. Result: There were 38 men and 5 women patients with a mean age of $42.0{\pm}16.8$ years (range: 17~77). The cause of vascular injuries were 28 traffic accidents (65%), 6 industrial accidents (14%), 6 glass injuries (14%) and 3 knife injuries (7%). The average time from admission to the operating room was $319.0{\pm}482.2$ minutes (range: 27~2,400 minutes). The average time from admission to discharge was $53.1{\pm}56.0$ days (range: 2~265 days). The anatomic injuries included the femoral artery in 16 cases (37%), the popliteal artery in 8 cases (19%), the brachial artery in 8 cases (19%), and the subclavian and axillary arteries in 7 cases (16%). The associated injuries were 23 bone fractures (53%), 18 muscle injuries (42%) 5 nerve injuries (12%) and 11 vein injuries (26%). The operation methods were 20 end to end anastomoses (46%), 16 interposition grafts (36%), 2 repairs with using patches (5%) and 5 others (12%). The number of amputations and cases of mortality were 3 cases (7%) and 4 cases (9%), respectively. Conclusion: Minimizing ischemia is an important factor for maximizing salvage of extremities. Prompt diagnosis and treatment can reduce the amputation and mortality rates.

Subclavian artery pseudoaneurysm of 10 days after a traffic accident: A Case Report (교통 사고 10일 후 발생한 쇄골하 동맥 가성동맥류 1례)

  • Hwang, Yong;Shin, Sangyol;Choi, Jeong Woo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.7
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    • pp.4651-4655
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    • 2015
  • The subclavian artery pseudoaneurysm in blunt trauma is uncommon and rarely occurs secondary to penetrating injury. Subclavian artery injuries represent an uncommon complication of blunt chest trauma, this structure being protected by subclavius muscle, the clavicle, the first rib, and the deep cervical fascia as well as the costo-coracoid ligament, a clavi-coraco-axillary fascia portion. Subclavian artery injury appears early after trauma, and arterial rupture may cause life-threatening hemorrhages, pseudoaneurysm formation and compression of brachial plexus. Most injuries were related to clavicle fracture, gunshot, other penetrating trauma, and complication of central line insertion. The presence of large hematomas and pulsatile palpable mass in supraclavicular region should raise the suspicion of serious vascular injury and these clinical evidences must be carefully worked out by physical examination of the upper limb. Since the first reports of endovascular treatment for traumatic vascular injuries in the 1993, an increasing number of vascular lesions have been treated this way. We report a case of subclavian artery pseudoaneurysm 10 days after blunt chest trauma due to traffic accident, treated by endovascular stent grafting.

Emergency angioembolization performed in a hemodynamically unstable patient with grade V liver injury: The benefit of emergency angioembolization without computed tomography (혈역학적으로 불안정한 grade V 간손상에서 시행한 응급 혈관색전술: 전산화단층 촬영 없이 시행한 응급 혈관색전술의 이점)

  • Kang, Wu Seong;Park, Chan Yong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.2
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    • pp.235-239
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    • 2019
  • High-grade liver injury is associated with high morbidity and mortality rates. We report successful emergency angioembolization and early interventional radiology support to manage a high-grade liver injury in a 29-year-old man who presented following a fall during parachute training. Upon arrival, his blood pressure was 80/40 mmHg, and emergency ultrasonography showed a liver injury with perihepatic fluid collection. The patient's blood pressure reduced to 60/40 mmHg, and emergency angiography was performed without computed tomography (CT) (door to puncture time 36 min). After angioembolization, his blood pressure returned to 120/77 mmHg. Subsequent CT revealed no additional bleeding or hollow viscus injury. He was admitted to the Intensive Care Unit and discharged without complications 30 days after admission. In this case, emergency angioembolization (without performing CT) could successfully and safely treat a hemodynamically unstable patient with a high-grade liver injury.

Scapulothoracic Dissociation during Arresting - A Case Report - (체포 과정에서 발생한 견갑 - 흉곽 해리 - 증례보고 -)

  • Kim, Hyoung-Soo;Yoo, Jeong-Hyun;Yeom, Ju-Sang;Bae, Won-Ha
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.7 no.2
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    • pp.146-150
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    • 2008
  • Scapulothoracic dissociation is a rare injury caused by blunt force or massive traction to the anterolateral shoulder girdle with disruption of scapulothoracic articulation. This injury is characterized by massive soft-tissue swelling of the shoulder with intact skin, lateralization of damaged scapular. It frequently is accompanied by various musculoskeletal injuries and neurovascular injuries. 33-year-old man sustained a scapulothoracic dissociation without fracture and Vascular injuries during arresting. We report diagnostic method, clinical finding and non-operative management with literatures.

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특집 : 미세혈관 합병증 - 미세혈관 합병증에 의한 당뇨병성 신증 - 투석, 신장이식 불러오는 만성신장병

  • Song, Jun-Ho
    • The Monthly Diabetes
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    • s.259
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    • pp.17-21
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    • 2011
  • 당뇨병성 신증은 당뇨병의 대표적인 합병증으로 지속적인 고혈당으로 인하여 신장에 있는 미세혈관이 손상을 받아 오랜 시간에 걸쳐 신장의 기능부전을 초래하는 합병증을 말한다. 현재 국내에서 말기신부전증을 일으키는 가장 흔한 질환이 당뇨병이다.

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