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KMID : 0378019670100050081
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New Medical Journal
1967 Volume.10 No. 5 p.81 ~ p.87
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Clilnical Observation of the Epidemic Hemorrhagic Fever
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李柱炅/Lee, J.K.
申永基/金鍾聲/兪台沂/Shin, Y.K./Kim, C.S./Yiu, T.G.
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Abstract
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During the autumn and winter in 1962 and spring in 1966, there were chances to face patients suffering from epidemic hemorrhagic fever..30 cases of the epidemic t´hemorrhagic fever patients were observed and treated throughout the entire admission course.
. During the hospitalization, chest x-ray views were checked serially in the febrile or hypotensive phase, early oliguric phase, late oliguric,´, phase and diuretic phase. Blood urea nitrogen levels were also checked simultaneously in the oliguric phase.
1. 36.7 per cent of . the cases showed pulmonary edema and cardiac enlargement on the chest x-ray views with bl000d urea nitrogen value showing 92.57mg % in average.
There was a tendency that both chest x-ray changes and blood urea nitrogen levels were reaching peacks at the late oliguric phase.
2. Thre were slight cardiac enlargement with sightly increased bronchovascular markings and/or hilar
shadows in 30 per cent of the cases. Blood ure nitrogen level showed 65.78 mg% in average.
3. 33.3 per cent of them were quite normal throughout whole clinical course on the chest x-ray views.
However blood urea nitrogen level was 47.3mg// in average.
4. Generally the changes of the chest x-ray views and blood urea nitrogen levels changed in perallel
with the clinical manifestations. It should be noted that pulmonary edema and cardiac enlargement
are fundamentally caused by rather cardiopulmonary imbalance due to over-hydration than uremia
per se.
5. Checking the chest x-ray changes is a relatively´ simple and convenient method understanding substantial balance of the cardiopulmonary function in the oliguric phase and it is also a good indication to determine the amount of the daily supply of the fluid.
6. The most important phase for checking chest x-ray is that of the oliguric phase and there should be put an emphsis that the early initial chest x-ray view is a valuable one on reading the pictures checked subsequently in the oliguric phase.
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