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논문분류	추계학술대회 초록집
제목	부종의 발생 기전과 치료
저자	박성광 , 강성귀
출판정보	1993; 1993(0):
키워드	N/A
초록	Edema is defined as a palpable swelling produced by expansion of the interstitial fluid volume. A variety of clinical conditions are associated with the development of edema, including congestive heart failure, cirrhosis of the liver, and the nephrotic syndrome. There are two basic steps involved in edema formation: an alteration in capillary hemodynamics is present that favors the movement of fluid from the vascular space into the interstitium; and dietary sodium and water are retained by the kidney. Idiopathic edema refers to a disorder occuring in young, menstrating women in the absence of cardiac, hepatic, or renal disease.General measures which are effective in all edema- forming states involve bed rest and sodium restriction. In all cases of edema formation, treatment of the under- lying disease process leading to the edema should be the primary focus of attention. Thus, therapeutic measures directed at the failing myocardium in patients with congestive heart failure or at altered glomerular perme- ability in patients with the nephrotic symdrome will, if successful, treat the edema as well. In all but the mildest cases of edema, diuretics are one of the mainstays of management. But patients with idiopathic edema as- sociated with diuretic abuse should be encouraged to stop diuretic therapy for 3-4 weeks.
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