• 제목/요약/키워드: palpitation

검색결과 259건 처리시간 0.02초

교통사고 후 야제(夜啼), 야경(夜驚) 증상을 보인 소아 환자 35명에 대한 증례보고 (The Clinical Study of Night Crying and Night Terror in Children after Traffic Accidents)

  • 강경하;이선정;박은정
    • 대한한방소아과학회지
    • /
    • 제29권4호
    • /
    • pp.90-96
    • /
    • 2015
  • Objectives The purpose of this study was to report 35 children who had sleep disorder like night crying or night terror after traffic accidents. Methods This clinical study had been carried out with 35 infants and children, who visited to the department of Pediatrics, ${\bigcirc}{\bigcirc}$ Oriental Medical Hospital from January 2012 to June 2015. Results The study group had similar sex the ratio between boys and girls and the group had more of 1-3 year-old children. The number of patients who were diagnosed as night crying were 24, night terror were 7 and palpitation due to alarm were 4. All patients took herb medicine and 15 patients were treated by acupuncture. During the treatment, symptom of night crying and terror were disappeared. Conclusions This result showed that the oriental medical treatment was effective in children who suffered from night crying or night terror after traffic accidents.

식품의약품안전청에 보고된 심혈관계 약물유해반응의 특성 분석 (Characteristics of Cardiovascular Adverse Drug Reactions Reported to KFDA)

  • 유기연;조혜경;이숙향
    • 한국임상약학회지
    • /
    • 제22권1호
    • /
    • pp.41-46
    • /
    • 2012
  • Adverse drug reaction (ADR) is a global problem of major concern in health care. ADRs can be accrued in any organs or systems. However, cardiovascular ADRs could be a more serious problem if they are irreversible or severe. For this reason, this study was conducted to analyze pattern and severity of cardiovascular ADRs, and suspicious medication. Total 646 reports including cardiovascular ADRs reported to the KFDA between January and June 2010 were analyzed. Amlodipine besylate (36 reports, 3.3%), iopromide (29 reports, 2.7%), tramadol HCl (28 reports, 2.6%) were most suspicious drugs that occurred cardiovascular ADRs. The most common cardiovascular ADRs were hypotension( 236 reports, 33.1%), palpitation (134 reports, 18.8%), and hypertension (89 reports, 12.5%). The most frequent ADRs were occurred in the age group of more than 60. This result could be of help to prescribers and other healthcare providers to predict and prevent cardiovascular ADRs. Also this study suggested that patients with cardiovascular ADR risk factors should be intensively monitored during the medications.

불안장애환자(不安障碍患者) 19례(例)에 대(對)한 임상적(臨床的) 고찰(考察) (The Clinical Analysis on 19 Cases of Anxiety Disorder)

  • 정인철;이상용
    • 동의신경정신과학회지
    • /
    • 제9권2호
    • /
    • pp.161-169
    • /
    • 1998
  • A clinical analysis was carried out for 19 patients who was treated in Dept. of Neuropsychiatry of Taejon Oriental Medicine Hospital from I aug. 1997 to 31 Jul. 1998 and was ruled out as anxiety disorder. The results were summarized as follows. 1. In the distribution of the sex, ratio between female and male was 1:2.8, distribution of the age was even each age, and the primary motive of the onset were psychological trauma, question of money, discord of a household. 2. As for the duration in disease, the duration from a week to a month had a majority of all, and the most duration of the addmission-treatment was a week. 3. The most common symptom were palpitation ·anxiety, headache·dizziness, chest discomfort, the cases of generalized anxiety disorder and atypical anxiety disorder was a large number. 4. In the aromatherapy of absorptive method, the sort of many used essential oil were Lavenda and Rosewood, in the massage, that were Peppermint and Rosemary. 5. The most used recipes were BUNSIMKIYEM(分心氣飮) HACHULBOSIMTANG(夏朮補心湯), CHUNGGANSOYOSAN(淸肝逍遙散), BANHABAEKCHUCHUNMATANG(半夏白朮天麻湯), CUIBIONDAMTANG(歸脾溫膽湯) etc. 6. In the judgement of efficacy, 9 cases showed good efficacy, 9 cases showed no change, 1 case showed excellent efficacy.

  • PDF

생기능자기조절훈련(뉴로피드백)과 한약 치료를 병행한 사회공포증 치험 1예 (A Clinical Report about a Patient Suffering from Social Phobia and Treated by Herbal Medicine with Neurofeedback)

  • 이고은;위영만;성주원;김단영;강형원
    • 동의신경정신과학회지
    • /
    • 제25권2호
    • /
    • pp.153-164
    • /
    • 2014
  • Objectives: In this case report, we will show the effectiveness of herbal medicine with neurofeedback treatment on social phobia. Methods: First, we diagnosed the patient by interview and questionnaire as having social phobia and suffering from anxiety, shaking and palpitation in public places and fear to meet new people. Beside, we examined the pattern of brainwaves by QEEG-8 system. Second, we treated the patient by herbal medicine with neurofeedback treatment for 4 months. Then we conducted new assessments by SCL-90-R, BDI, BAI and QEEG-8 system. Results: The patient's psychological and physiological symptoms were significantly improved. Conclusions: Herbal medicine with neurofeedback can be effective in the treatment of social phobia. Especially, it can be helpful to improve the patient's sensitivity to its physiological symptoms.

대동맥판막에 위치한 유두상 섬유탄력종 (Aortic Valve Papillary Fibroelastoma - Report of 1 Case-)

  • 김재현;오삼세;이창하;백만종;김종환;나찬영
    • Journal of Chest Surgery
    • /
    • 제38권4호
    • /
    • pp.316-318
    • /
    • 2005
  • 유두상 섬유탄력종은 원발성 종양 중 두 번째로 많이 호발하는 양성종양으로 주로 심장판막에 발생한다. 본원에서는 심계항진과 호흡곤란을 주소로 내원한 51세 여자환자를 검사하던 중 우연히 대동맥 판막에 위치한 유두상 섬유탄력종이 발견되었다. 수술시 대동맥 판막의 손상 없이 대동맥 판막에 부착된 종양만 제거하는 것이 가능하였다.

심근경색후 발생한 좌심실류 및 심실중격결손의 외과적 치료 (6례 보고) (Surgical Repair of Left Ventricular Aneurysm and Postinfarction Ventricular Septal Defect with Myocardial Revascularization (A report of 6 cases])

  • 조범구
    • Journal of Chest Surgery
    • /
    • 제21권6호
    • /
    • pp.996-1002
    • /
    • 1988
  • A clinical analysis was performed on 115 cases of -patent ductus arteriosus treated surgically during the period of 11 years from Aug. 1977 to Jul. 1988. at the Department of Thoracic and Cardiovascular Surgery, Chungnam National University Hospital. Among 115 cases, male was 38 and female was 77 and ages ranged 12 days to 27 years old with the average of 8 7/12 years. The major clinical symptoms on admission were frequent URI attack[77.4%], dyspnea on exertion[32.2%] and palpitation[13%]. On auscultation, continuous machinery murmurs were detected in 97 cases[84.3%] and loud systolic murmurs were detected in 18 cases[15.7%]. Preoperative electrocardiographic findings were as follows: LVH 59[51.3%], RVH 12[10.4%], BVH 16[13.9%] and WNL 28[24.3%]. Radiologically, there were increased pulmonary vascularity in 104[90.4%] and cardiomegaly 62[53.9%]. Cardiac catheterization were performed in 101 cases and mean systolic pulmonary arterial pressure was 49.84*29.7mmHg and mean Qp/Qs was 2.95k1.8. Methods of operation were multiple ligation in 96, division in 11 and transpulmonary arterial repair using cardiopulmonary bypass in 8. Complication were recannalization in 2, temporary hoarseness due to left recurrent laryngeal nerve paralysis in 3 and respiratory distress in 1 and overall mortality rate was 1.7%[2 cases].

  • PDF

원발성 좌심실 점액육종 -1례 보고- (Primary Left Atrial Myxosarcoma -One case Report-)

  • 박철;김종석;이연재;김한용;유병하;김종국;권오춘;김병헌
    • Journal of Chest Surgery
    • /
    • 제34권11호
    • /
    • pp.861-864
    • /
    • 2001
  • 원발성 심장 점액육종은 대단히 희귀하며 원발성 심장 종양 중에서도 드물다. 저자들은 희귀한 원발성 심장 점액육종을 보고하는 바이다. 환자는 40세 여자 환자로 운동시 호흡 곤란과 심계 항진을 주소로 내원하였다. 심초음파 검사로 좌심방내 종양이 발견되어 응급 수술을 시행하였다. 좌심방내의 고식적 종양 절제후 병리 소견상 심장 점액 육종으로 진단되었으며 수술 후 별다른 합병증 없이 퇴원하였다.

  • PDF

심방중격 결손증에 대한 임상적 고찰 (Clinical Studies of Congenital Atrial Septal Defects - A Case Report -)

  • 조용준;오봉석;이동준
    • Journal of Chest Surgery
    • /
    • 제25권4호
    • /
    • pp.383-390
    • /
    • 1992
  • From Oct. 1983 to Dec. 1991, 135 cases of atrial septal defect which were operated at the department of Thoracic and Cardiovascualr Surgery, Chonnam National University Hospital, were analysed retrospectively. They were 23.7% of all congenital heart diseases operated in the same period. Among the 135 cases, 62 cases were male and 73 cases were female. Their ages were ranged from 2 to 54 years and the mean was 18 years old. Main symptoms at admission were exertional dyspnea[70.37%], frequent URI[49.12%] and palpitation[32.59%], but 12 cases[8.88%] were asymptomatic. Electrocardiographic findings wer regular sinus rhythm in 96.99%, RVH in 64.66%, incomplete RBBB in 27.06%, complete RBBB in 42.10%, and first degree AV block in 9.02% All 135 cases were operated under the direct vision with cardiopulmonary bypass. Anatomically, most frequent type was fossa ovalis defect with complete septal rim[78.52%]. 117 of 135 ASD patients were repaired with pathch closure[86.66%] and 14 patients were repaired with direct closure[10.37%] and 4 patients in mutiple ASD were repaired with patch and direct closure[2.96%]. Postoperative complications were occured in 21 cases[15.56%], and they were wound infection, pleural effusion, postoperative bleeding, urinary tract infection, and heart failure mainly. One case died due to epidural hematoma and operative mortality was 0.74%.

  • PDF

부분심내막상 결손증의 교정수술치험 1 (Surgical correction of partial endocardial cushion defect: one case report)

  • 기노석
    • Journal of Chest Surgery
    • /
    • 제17권2호
    • /
    • pp.244-249
    • /
    • 1984
  • Surgical treatment of partial endocardial cushion defect was accomplished in Feb. 1984 in this department. The 5 year old male patient had history of frequent upper respiratory tract infection and since his age of 3 years dyspnea on exertion and palpitation were noted but there were no cyanosis and clubbing. A thrill was palpable on the apex and grade IV/IV harsh systolic ejection murmur and diastolic murmur was audible on it. Liver was palpable about 3 finger breadths and no ascites. Chest X-ray revealed increased pulmonary vascularity, moderate cardiomegaly [C-T ratio; 0.69], and enlarged left atrium. EKG showed first degree heart block, RVH, LVH, and LAD. Echocardiogram showed paradoxical ventricular septal movement and abnormal diastolic movement of the anterior leaflet of mitral valve. Right heart catheterization resulted left to right shunt [Qp:Qs:2.1:1 ] and moderate pulmonary hypertension [60/40 mmHg]. Left ventriculogram showed mitral regurgitation [Grade III/IV] and filling of left atrium and right atrium nearly same time. Operative findings were: 1.Primum type atrial septal defect [3x2 cm] 2.Cleft on the anterior leaflet of mitral valve. 3.No interventricular communication and cleft of tricuspid valve leaflet. The mitral cleft was repaired with 4 interrupted sutures. The primum type atrial septal defect was closed with Dacron patch intermittently at endocardial cushion and continuously remainder. The post operative course was uneventful and discharged on 22nd postoperative day in good general conditions.

  • PDF

심방중격결손증의 외과적 요법 (Surgical Treatment of Atrial Septal Defect)

  • 조형곤
    • Journal of Chest Surgery
    • /
    • 제18권2호
    • /
    • pp.174-181
    • /
    • 1985
  • From Jun. 1980 to Mar. 1984, 33 cases of atrial septal defect, secundum type, operated at the department of Thoracic and Cardiovascular Surgery, School of Medicine, Keimyung University, were analyzed retrospectively. They were 24.3% of all congenital heart diseases operated in the same period. Among the 33 cases, 17 cases were males and 16 cases were females. Their ages were ranged from 4 to 42 years and cases of over 15 years of age were 60.6%. Main symptoms at admission were exertional dyspnea [69.7%], palpitation [63.6%] and frequent upper respiratory infections [51.5%], but 2 cases [6.1%] were asymptomatic. All 33 cases were operated under the direct vision with cardiopulmonary bypass. All cases were secundum type defect of atrial septal defect and single defect were in 29 cases [90.6%], and oval type defect were in 31 cases [96.9%]. In 7 cases [21.9%], other lesions of cardiovascular system were associated, and the most common lesion was pulmonic valvular stenosis [4 cases; 12.5%]. The defects were closed directly in 27 cases and in 6 cases with Dacron patch. Postoperative complications were occurred in 8 cases [24.2%], and they were pleural effusion, congestive heart failure, and alopecia mainly. One case died due to air embolism postoperatively and operative mortality was 3.1%.

  • PDF