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KMID : 0376119830100020063
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Medical Journal of the Red Cross Hospital
1983 Volume.10 No. 2 p.63 ~ p.72
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Clinical Study of Hypertention
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金吉洙/Kim, Gill Soo
徐明洙/全浚權/金佑泰/高允晶/宋昌燮/Seo, Myeong Su/Chun, Jung Kwon/Kim, Woo Tae/Ko, Youn Jung/Song, Chang Sup
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Abstract
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A retrospecive clinical observation was done on 325 cases of hypertension admitted to Department of Internal Medicine of Seoul Red Cross Hospital from January, 1979 to December, 1981.
The following results have been obtained.
1) The observed patients were 157 males and 168 females, and the prevalence rate of malignant hypertension, among 325 hypertensions was 16 cases (4.9 percent). Among 16 cases of malignant hypertension 9 cases were male land 7 cases were ´ female. Most frequently in 50, 60 and -40 years of age in this order each sex.
2) The average admitted dates are 7 days. ´27 cases (8.3percent) were readmitted above 2 times after one discharged.
3) The most frequently observed duration of Known hypertension 37.9 percent was 6-10 years and the next. frequently observed duration 27.4 percent was 3-5 years.
4) The highest percentage of malignant hypertension had systolic blood pressure between 190-209 mmHg and diastolic blood pressure between 150-169 mmHg,
5) The highest percentage of seasonal number was spring (31.1 percent) and the next autumn, 1´ summer, winter in this order and the prevalence rates of by orientation are increased average 1.9% of each year.
6) The 78.5 percent of the patients were found that their blood pressure were abnormally high when they were examined. with related symptoms on admission, and they major symptoms were headache and dizziness.
7) The physical examination on admission, tachycardia (56percent), tachypnea (15.1 percent), semicoma to coma (12.9 percent) in this order.
8). The status of treatment in hypertension on admission . was as follows intermittent treatment 54.5 percent, no treatment 31 percent and continuous treatment 14.5 percent in this order.
9) In the chest X-ray on admission, the most frequent finding was, cardiomegaly, and normal finding was the next frequency. The pulmonary Tbc was noted in 12.6 percent. 10) According to the degree of fundoscopic abnormality by K-W classification stage 1ff was 68.8 percent and stage N was 31.2 percent.
11) Electrocardiogram abnormalities were 44.9 percent, and 87.5 percent of malignant hypertension revealed electrocardiographic abnormalities and left ventricle hypertrophy was observed in 70.5 percent.
12) Hypercholesterolemia 78 percent, Hypernatremia 69.8 percent, Hypokalemia 22.8 percent, serum chloride 34. 5 percent (´(95m Egg), BUN 53.8 percent (>20 mg/dl) and creatinine 45. 8 percent (>3 mg/dl) on admission.
13) Proteinuria was observed in 87.5 percent of malignant hypertension.
14) Marked improved for clinically was 24 percent and mortality rate was 5.2 percent, most common cause of death are cardiova scalar accident (64. 7 percent) and renal failure-(23. 5 percent).
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