奇脈
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- 1. 頚静脈波の検討examination of the jugular venous pulse [show details]
… and this abnormal finding is called Kussmaul sign. Kussmaul sign is classically seen in constrictive pericarditis… By palpation: The arterial pulse is more easily palpable than the venous pulse. Occasionally the venous pulse also becomes palpable when there…
- 2. コレラ：臨床的特徴、診断、治療、予防cholera clinical features diagnosis treatment and prevention [show details]
…lactic acidosis from poor perfusion may result in Kussmaul breathing (deep respirations reflecting compensatory hyperventilation). The peripheral pulse is rapid and thready initially, and it may become …
- 3. 脈圧の上昇increased pulse pressure [show details]
…higher pulse pressure. In addition, slower heart rates result in a greater pulse pressure. In general, women are shorter than men but tend to have faster heart rates. As a result, differences in pulse pressure …
- 4. 動脈拍動の検討examination of the arterial pulse [show details]
… ascertain any differences in the pulse amplitude, contour, or upstroke. Popliteal pulses should also be examined when lower extremity arterial disease is suspected. The carotid pulse contour is very similar to …
- 5. パルスオキシメトリpulse oximetry [show details]
…seconds . In addition to peripheral SpO2 many pulse oximeters also display pulse rate and relative pulse amplitude . The microprocessors of pulse oximeters are calibrated using reference tables of …
English Journal
- When the factory shuts down.
- Borgstede MG, van den Broeke-Vos MJW, Stevens-Stolmeijer R, Lameijer H.
- Emergency medicine journal : EMJ. 2019 Jan;36(1)51-60.
- A 56-year-old man without known medical history was brought to our ED after he was found next to his bed, agitated and with waxing and waning consciousness. He has been bedbound for 5 days after a long-standing period of malnutrition. Physical examination reveals Kussmaul breathing, heart rate of 62
- PMID 30635345
- Echocardiography in a Patient on Mechanical Ventilation.
- , S S, A A, A A.
- The Journal of the Association of Physicians of India. 2015 Jul;63(7)41-3.
- Cardiopulmonary interactions or effects of spontaneous and mechanical ventilation (MV) were first documented in the year 1733. Stephen Hales showed that the blood pressure of healthy individual fell during spontaneous inspiration and he later went on to discover the ventilator. A year later Kussmaul
- PMID 26731826
- Strategies for multivessel revascularization in patients with diabetes.
- Farkouh ME, Domanski M, Sleeper LA, Siami FS, Dangas G, Mack M, Yang M, Cohen DJ, Rosenberg Y, Solomon SD, Desai AS, Gersh BJ, Magnuson EA, Lansky A, Boineau R, Weinberger J, Ramanathan K, Sousa JE, Rankin J, Bhargava B, Buse J, Hueb W, Smith CR, Muratov V, Bansilal S, King S, Bertrand M, Fuster V, .
- The New England journal of medicine. 2012 Dec;367(25)2375-84.
- In some randomized trials comparing revascularization strategies for patients with diabetes, coronary-artery bypass grafting (CABG) has had a better outcome than percutaneous coronary intervention (PCI). We sought to discover whether aggressive medical therapy and the use of drug-eluting stents coul
- PMID 23121323
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- a. the rhythmic contraction and expansion of an artery at each beat of the heart, often discernible to the touch at points such as the wrists ... [1375–1425; Middle English puls < Latin pulsus beating, striking, pulse, derivative (with -tus suffix of v. action) of ...
- Kussmaul breathing Air hunger Clinical medicine Rapid, deep respiration 2º to stimulation of the respiratory center of the brain triggered by ↓ pH, normal ... A controlled method of breathing in which the diaphragm is used for inspiration ...
★リンクテーブル★
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- 英
- paradoxical pulse
- ラ
- pulsus paradoxus
- 同
- クスマウル脈拍 クスマウル脈 Kussmaul pulse
- 関
- 心タンポナーデ
定義
- It refers to a descrease of systolic bood pressure(more than 10 mm Hg) during normal inspiration
病因
病態生理
- 正常な人手も吸気時に収縮期血圧が低下するが、いくらなんでも下がりすぎ・・・というのが奇脈。
- 吸気→↑静脈還流量→右室拡張→心室中隔を左方圧迫→↓左室駆出量→↓血圧
- 心タンポナーデでは、心室の拡張が妨げられるが、こういう状況の時、吸気時に右室が心室中隔を左室に向かって押す作用が(呼気時にと比較して)相対的に大きくなるため (PHD.343)
- 収縮性心膜炎の場合は、奇脈は限定的
- In constrictive pericarditis, the negative intrathoracic pressure generated by inspiration is not easily transmitted through the rigid pericardial shell to the right-sided heart chambers; therefore, inspiratory augmentation of RV filling is more limited.(PHD.345)
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脈拍