• 제목/요약/키워드: Pulmonary injury

검색결과 331건 처리시간 0.032초

PULMONARY VASCULAR EFFECTS OF GINSENOSIDES

  • Gillis C. Norman;Kim Hyeyoung;Chen Xiu;Park Hoon
    • 고려인삼학회:학술대회논문집
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    • 고려인삼학회 1993년도 학술대회지
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    • pp.36-39
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    • 1993
  • We reported earlier (Br. J. Pharmac. 82. 485 - 491. 1984) that ginsenosides from Panax ginseng CA. Meyer antagonized noradrenaline or prostaglandin $F_{2\alpha}-induced$ contractions of pulmonary and intrapulmonary arterial rings of rabbits. Because this effect resembled that of acetylcholine (ACh). we questioned whether these acitons were due to release of nitric oxide from vaseular endothelium. We therefore determined whether ginsenosides could vasodilate preconstricted lungs and also protect against free radical injury. which normally eliminates the vasodilator response to ACh(J. Appl. Physiol. 71. 821 - 825. 1991 J. We found that ginsenoside $Rg_1$ or a mixture of saponins could ,a) vasodilate perfused. $U_{46619}-preconstricted$ lungs. b) promote increased synthesis of nitric oxide by endothelial cells in culture and c) prevent the pulmonary edema often associated with free radical injury (Biochem. Biophys. Res. Comm. 189. 670 - 676. 1992). Thus, vasodilator and protective effects of ginsenosides against free radical injury may reflect enhanced synthesis and release of nitric oxide. These data suggest that ginsenosides may be useful in treatment of pulmonary and systemic hypertension. Aided by grants from the National Institutes of Health. Bethesda.

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Watch Out for the Early Killers: Imaging Diagnosis of Thoracic Trauma

  • Yon-Cheong Wong;Li-Jen Wang;Rathachai Kaewlai;Cheng-Hsien Wu
    • Korean Journal of Radiology
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    • 제24권8호
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    • pp.752-760
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    • 2023
  • Radiologists and trauma surgeons should monitor for early killers among patients with thoracic trauma, such as tension pneumothorax, tracheobronchial injuries, flail chest, aortic injury, mediastinal hematomas, and severe pulmonary parenchymal injury. With the advent of cutting-edge technology, rapid volumetric computed tomography of the chest has become the most definitive diagnostic tool for establishing or excluding thoracic trauma. With the notion of "time is life" at emergency settings, radiologists must find ways to shorten the turnaround time of reports. One way to interpret chest findings is to use a systemic approach, as advocated in this study. Our interpretation of chest findings for thoracic trauma follows the acronym "ABC-Please" in which "A" stands for abnormal air, "B" stands for abnormal bones, "C" stands for abnormal cardiovascular system, and "P" in "Please" stands for abnormal pulmonary parenchyma and vessels. In the future, utilizing an artificial intelligence software can be an alternative, which can highlight significant findings as "warm zones" on the heatmap and can re-prioritize important examinations at the top of the reading list for radiologists to expedite the final reports.

가미혈부축어탕 Hexane층의 항혈전활성과 뇌손상 보호효과 (Antithrombotic Activity and Protective Effects of hexane fraction of Kamihyulbuchukeotang (KHBCT) on brain injury by KCN and MCA occlusion)

  • 이민섭;노석선;임낙철;송호철;신순식;김성훈
    • 생약학회지
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    • 제31권4호
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    • pp.373-382
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    • 2000
  • This study was performed to investigate the antithrombotic activity and protective effect of hexane fraction of Kamihyulbuchukeotang (KHCTH) on brain injury by KCN and MCA occlusion a prescription of HCT added with Lumbricus and Notoginseng Radix. Experiemental parameters are brain ischemia by MCA occlusion assay, KCN-induced brain injury, pulmonary thrombosis and platelet aggregation assay. The results were summarized as follows; 1. KHCTH extracts significantly inhibited the duration of KCN-induced coma (67%) and mortality (80%). 2. KHCTH extracts significantly suppressed brain ischemic area and edema following MCA occlusion and protected neuron cells as compared with control data. 3. KHCTH extracts inhibited pulmonary thrombosis induced by collagen and epinephrine. 4. KHCTH extracts inhibited platelet aggregation induced by collagen, ADP as agonist up to 76.9% and 32.3% respectivey at 1 mg/ml more effective than water extract of KHCT These data suggested that KHCTH could be applied as the protector of brain ischemia and injury and antithrombotic agent.

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급성폐손상환자에서 호기말양압의 변화가 폐모세혈관압에 미치는 영향 (The Effect of Positive end Expiratory pressure on the Pulmonary Capillary Pressure in Acute Lung Injury Patients)

  • 정병천;변창규;이창률;김형중;안철민;김성규;신중수
    • Tuberculosis and Respiratory Diseases
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    • 제49권5호
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    • pp.594-600
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    • 2000
  • 연구배경 : 급성폐손상 환자는 폐의 염증 및 투과성 증가로 폐부종을 보인다. 폐부종의 중요한 결정요인은 폐모세혈관압이며 호기말양압은 폐모세혈관에 영향을 미치는 것으로 알려져 있다. 최근 폐동맥 풍선 도자를 이용한 임상적인 폐모세혈관압 측정법이 발전하여, 이를 이용 하면 폐동맥쐐기압 뿐만 아니라 폐모세혈관압 측정도 가능하게 되었다. 이에 급성폐손상 환자를 대상으로 폐동맥 풍선 도자로 폐동맥쐐기압 및 폐모세혈관압의 변화를 관찰하여 폐동맥쐐기압이 폐모세혈관압올 적절히 반영하는지 알아보고, 호기말양압의 변화가 폐모세혈관압에 미치는 영향을 알아보고자 본 연구를 시행 하였다. 방법 : 급성폐손상으로 기계호흡을 받은 11명의 환자를 대상으로 하였다. 호기말 양압을 0cm$H_2O$에서 시작하여 15분 간격으로 4cm$H_2O$ 씩 증가시켜 12cm$H_2O$까지 변화를 주연서 정해진 PEEP값에서 폐동맥 풍선 도자를 이용한 폐모세혈관압 측정법을 사용하여 자료를 얻었다. 결과 : 호기말양압을 0cm$H_2O$부터 12cm$H_2O$까지 증가시킴에 따라 중심정맥압은 $6.1{\pm}1.6$에서 $9.3{\pm}2.3$mmHg까지 증가하였고, 평균폐동맥압도 $22.7{\pm}7.4$에서 $25.3{\pm}7.3$mmHg까지 증가하였다. 또한 폐동맥쐐기압은 $9.8{\pm}2.1$ 에서 $12.8{\pm}2.1$mmHg로 증가하였고, 폐모세혈관압도 $15.3{\pm}3.3$ 에서 $17.8{\pm}3.2$mmHg로 증가 하였다. 결론 : 급성폐손상 환자에서 폐동맥쐐기압이 폐모세혈관압을 반영하나 호기말양압을 사용하면 폐모세혈관압이 증가하는 것을 관찰하였다. 따라서 급성폐손상 환자의 수액요법에서 폐동맥쐐기압 뿐만 아니라 폐모세혈관압의 감시도 가치가 있을 것으로 기대된다.

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YS 49, a Synthetic Isoquinoline Alkaloid, Protects Sheep Pulmonary Artery Endothelial Cells from tert-butylhydroperoxide-mediated Cytotoxicity

  • Chong, Won-Seog;Kang, Sun-Young;Kang, Young-Jin;Park, Min-Kyu;Lee, Young-Soo;Kim, Hye-Jung;Seo, Han-Geuk;Lee, Jae-Heun;ChoiYun, Hye-Sook;Chang, Ki-Churl
    • The Korean Journal of Physiology and Pharmacology
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    • 제9권5호
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    • pp.283-289
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    • 2005
  • Endothelium, particularly pulmonary endothelium, is predisposed to injury by reactive oxygen species (ROS) and their derivatives. Heme oxygenase (HO) has been demonstrated to provide cytoprotective effects in models of oxidant-induced cellular and tissue injuries. In the present study, we investigated the effects of YS 49 against oxidant [tert-butylhydroperoxide (TBH)]-induced injury using cultured sheep pulmonary artery endothelial cells (SPAECs). The viability of SPAECs was determined by quantifying reduction of a fluorogenic indicator Alamar blue. We found that TBH decreased cell viability in a timeand concentration-dependent manner. YS 49 concentration- and time-dependently increased HO-1 induction on SPAECs. As expected, YS 49 significantly decreased the TBH-induced cellular injury. In the presence of zinc protophorphyrin, HO-1 inhibitor, effect of YS 49 was significantly inhibited, indicating that HO-1 plays a protective role for YS 49. Furthermore, YS 49 showed free radical scavenging activity as evidenced by 1,1-diphenyl-2-picrylhydrazyl (DPPH) and inhibition of lipid peroxidation. However, YS 49 did not inhibit apoptosis induced by lipopolysaccharide (LPS) in SPAECs. Taken together, HO-1 induction along with strong antioxidant action of YS 49 may be responsible for inhibition of TBH-induced injury in SPAECs.

김수육군전(金水六君煎)이 흡연(吸煙)한 백서(白鼠)의 폐손상(肺損傷)에 미치는 영향(影響) (Experimental Study of the Effects of Gyumsuyukgunjun on the Pulmonary Injury Caused by Exposure of Cigarette Smoke in Rats)

  • 감철우;박동일
    • 한국한의학연구원논문집
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    • 제3권1호
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    • pp.261-278
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    • 1997
  • This experiment was performed in order to study the clinical effects of Gyumsuyukgunjun on the pulmonary injury caused by exposure of cigarette smoke in rats. Therefore, a writer reports on present experimental results having significant effects on the level of oxygen consumption, the lungs volume, the leukocyte, the hemoglobin level, and the $PaO_2$, $PaCO_2$ after administration of Gyumsuyukgunjun in order to study the clinical effects of Gyumsuyukgunjun on the pulmonary injury caused by exposure of cigarette smoke in rats. The results were obtained as follows: 1. In comparison with control group, The group of Gyumsuyukgunjun administration was revealed significant effects(P<0.005) of increase on the level of oxygen consumption. 2. In comparison with control group, The group of Gyumsuyukgunjun administration was revealed significant effects(P<0.005) of decrease on the lungs volume. 3. In comparison with control group, The group of Gyumsuyukgunjun administration was revealed significant effects(P<0.05) of decrease on the leukocyte counts. 4. In comparison with control group, The group of Gyumsuyukgunjun administration was revealed significant effects(P<0.05) of decrease on the hemoglobin level. 5. In comparison with control group, The group of Gyumsuyukgunjun administration was revealed significant effects(P<0.01) of increase on the $PaO_2$ level only of $PaO_2$, $PaCO_2$ level. It was concluded from the above results that Gyumsuyukgunjun has a significant effects on the pulmonary injury caused by cigarette smoke.

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간세포암의 간동맥 화학색전술 후 발생한 급성 폐손상 1예 (A Case of Acute Lung Injury Complicated by Transcatheter Arterial Chemoembolization for Hepatocellular Carcinoma)

  • 조세행;김주항;김병수;장준
    • Tuberculosis and Respiratory Diseases
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    • 제42권5호
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    • pp.781-786
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    • 1995
  • 간세포암에 이환된 61세 남자에서 lipiodol과 doxorubicin을 이용하여 간동맥 항암 화학 색전술을 시행하였고 3일 후 급성 호흡 부전증이 발병하였으며 임상 양상 및 방사선학적 소견상 급성 폐부종 및 폐렴에 의한 급성 폐손상에 합당하였다. 감염, 혈전 및 종괴에 의한 폐색전증, 울혈성 심부전에 의한 급성 호흡 부전증의 가능성을 배제하기 위하여 혈액, 객담 배양 검사를 시행하였으나 균주는 동정되지 않았고 복부 전산화 단층 촬영, 복부 핵자기 공명 영상, 심 초음파 등을 시행하였으나 심장이나 하대 정맥에서 종괴나 혈전을 발견할 수 없었으며 심기능은 정상이었다. 상기 소견으로 본 환자의 급성 호홉 부전증의 원인으로서 lipiodol에 의한 폐 지방전색증을 추정하게 되었다. 환자는 보전적 요법을 시행받고 증상 발현 4주 후 임상증상 및 흉부 단순 촬영상 호전을 보여 퇴원하였다. 저자 등은 lipiodol과 doxorubicin을 이용하여 간세포암의 화학색전술을 시행 후 lipiodol에 의한 폐지방 색전증이 원인인 급성 폐손상이 발생한 종례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

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산소기에 의한 급성 폐손상에서 폐모세혈관압의 역할에 관한 연구 (The Role of Pulmonary Capillary Pressure in the Oxygen Free Radical-Induced Acute Lung Injury)

  • 유철규;김영환;한성구;심영수;김건열;한용철
    • Tuberculosis and Respiratory Diseases
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    • 제39권6호
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    • pp.474-483
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    • 1992
  • 연구배경 : 급성 폐손상은 원인에 상관없이 병태생리학적으로 폐동맥압의 증가와 폐부종을 특징으로 하는데 산소기를 포함한 여러 종류의 염증매개성 물질들이 급성 폐손상의 발병기전에 관여할 것으로 생각되고 있다. 그러나 산소기에 의한 급성 폐손상에서 폐모세혈관압의 변화는 확실하게 알려져 있지 않다. 또한 폐부종의 형성에는 폐포-모세혈관투과성과 함께 폐모세혈관과 폐포사이의 수압차도 중요한 역할을 하는 것으로 알려져 있으나 산소기에 의한 급성 폐손상에서 폐포모세혈관압의 역할에 관해서는 별로 알려져 있지 않은 실정이다. 방법 : Sprague-Dawley 백서를 정상 대조군(n=5), xanthine/xanthine oxidase 처치군(n=7), catalase 전치치군(n=5), papaverine 전처치군(n=7)과 indomethacin 전처치군(n=5)으로 나누어 격리순환폐모델에서 시간경과 따른 폐동맥압, 폐모세혈관압을 측정하고 폐의 무게 변화를 관찰하여 폐부종의 지표로 사용하였다. 폐모세혈관압은 micropuncture에 의한 방법과 일치도가 높은 것으로 알려져 있는 double occlusion법을 이용하였다. 즉, 폐동맥으로의 관류와 좌심방으로부터의 관류를 동시에 2초간 차단하여 폐동맥압과 좌심방압이 비슷한 압력에서 평형상태를 유지할 때의 압력을 폐모세혈관압으로 사용하였다. 결과 : 1) 폐동맥압과 폐모세혈관압은 각각 xanthine/xanthine oxidase 처치군에서 대조군에 비해 유의하게 높았다. 이들은 catalase와 papaverine 전처치로 각각 유의하게 완화되었으나 indomethacin 전처치로는 유의하게 완화되지 않았다. 2) xanthine/xanthine oxidase 처치군에서 관찰된 폐부종은 catalase 천처치와 papaverine 전처치로 유의하게 완화되었으나 indomethacin 전처치로는 완화되지 않았다. 결론 : 격리순환폐모델에서 산소기에 의한 백서의 급성 폐손상시 폐모세혈관압이 증가하고 이는 폐포-모세혈관투과성이 증가된 상태하에서 폐부종을 악화시키며 산소기에 의한 폐모세혈관압의 증가와 폐부종에 cyclooxygenase 대사물은 큰 역할을 하지 않을 것으로 생각된다.

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호흡기계의 항산화 방어기전 (PULMONARY ANTIOXIDANT DEFENSE MECHANISM)

  • 이영구;손형옥;임흥빈;이동욱
    • 한국연초학회지
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    • 제14권2호
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    • pp.168-195
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    • 1992
  • Pulmonary system is a target organ and primary defense mechanism against environmental oxidants and polutants. Enzymatic and nonenzymatic antioxdant defense mechanisms undoubtedly protect the lung from oxidants even endogenous oxidative stress. In addition, new ways of augmenting pulmonary antioxidant defenses are developed, which can be used to support the intrinsic antioxidants. Therefore, improved understanding of antioxidant defense mechanisms will increase our knowledge of the cause and will suggest rational approaches for treating and preventing oxidant-induced lung injury. In this review, we discuss the formation and scavenging of free radicals, and the strategies for antioxidant defense of pulmonary system.

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Toll-like Receptor 5 Agonism Protects Mice from Radiation Pneumonitis and Pulmonary Fibrosis

  • Wang, Zhi-Dong;Qiao, Yu-Lei;Tian, Xi-Feng;Zhang, Xue-Qing;Zhou, Shi-Xiang;Liu, Hai-Xiang;Chen, Ying
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권9호
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    • pp.4763-4767
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    • 2012
  • Radiation pneumonitis and pulmonary fibrosis are the main complications with radiotherapy for thoracic neoplasms, directly limiting the efficient dose in clinical application and currently there are few medicines that effectively function as radioprotectants. However, a TLR5 agonist, CBLB502, was confirmed to have protective efficacy against hematopoietic and gastrointestinal radiation syndromes in mice and primates. This study points to a new direction for protection against thoracic radiation-induced pulmonary syndromes and skin injury by CBLB502. We utilized the TUNEL assay, pathological analysis and immunohistochemistry to obtain evidence thatCBLB502 could alleviate the occurrence of radiation pneumonitis and pulmonary fibrosis as well as radiation-induced skin injury. It may thus play a promising role in facilitating clinical radiotherapy of thoracic neoplasms.