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�� κ�� ư�ȭ�� Ͽ� �߻��ȴ�. ��ư�ȭ��̶� �� ջ�� ̰�� Ͽ� �� ݷ��׷� �� ħ��ϰ� �� Ȱ�� ·��ȸħ�� Ͼ �� ߿� ��⿡ �� ϵǰ�, �� ź�¼� �� ȭ�ǰų� �ҽǵǾ� �� Ŀ��̳� �� Ͼ�� Ű�� Ǵ� �� ´´�.

��ư�ȭ�� ٲ� �� ְų� ġ�� ڷδ� ��, ��, �� ִ�. �κ�� ġ�ᰡ �� ڷδ� ��ݷ��׷� ��, �索�� ִ�. �� ϰų� ��Ʈ�� �� ʴ� ��Ȱ �� ¿� �� 赵�� ִ�. ��ư�ȭ�� 󵿸�� Ϻΰ� ��  �ó� �� ڵ�� ɱٿ� �� پ�� Ǿ� �ᱹ ��Һ�� Ͽ� �� Ÿ��鼭 �� ȴ�. �̷�� °� �ݺ��Ǵٰ� �� ų� �� Ŀ��Ǿ� �� 鼭 �� Ǹ� �ɱ�� 翡 �� ɱٰ�� Ѿ�� ȴ�.

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�� ֵ� �� ̴�. �̴� �� ߻��ϴ� �� ޸� �ɱٱ��簡 ��ݵǱ� �� ӵǾ� �� ð� �� ӵǱ⵵ �Ѵ�. �ַ� �� Ѱ�� Ȥ�� ο�� Ǹ�, �� ˴� �� ⵵ �ϰ� ��ſ� ��ü�� μ�� Ÿ��⵵ �ϸ� Į�� �� Ȥ�� ⵵ �Ѵ�. ��ó�� ϰų� ��Ʈ�α۸�� ؿ� �־ �� ȣ�� ʴ´�. �� ϰų� ��ϰ� �� Ű�� 幰�� ǽ�� ִ�. �� ظ�� ְ�, �� , �� 쿡 ȯ�ڴ� �� ƹ�� 鼭 �ǽ�� Ұ� ��ũ�� 帶�� Ű�� ȴ�.

�̷�� ɽ�� , �� ̳� ��п� �� ߵǱ⵵ �ϰ� �� ޺��ϴ� ��쿡�� ´�. �׷�� ÿ�� ִٴ� �� ٸ� Ư¡�̴�. �ɱٰ�� ȯ��Ǿ� 15??20%�� ִ�. �� ʴ� �ɱٰ�� ַ� �索�� ȯ�ڳ� ��ڿ� ��. �索�� Ű濰�� Ƿ� �� 찡 ��, Ư�� Ŀ�� Ⱑ �� ڱ� �� ٸ鼭 �� 찡 �ִ�. �� ٰ� �ؼ� �Ƚ��ϴ� �� ݹ��̴�.

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�ɱٰ�� ȯ�� û��κ�� ǽ�� ִ�. �� ȯ�� ڸ� �� ִ� ȯ�ڰ� 30��̻� ��ӵǴ� �� ּҷ� ��Ѵٸ� �� ȯ Ư�� ɱٰ�� ǽ�� ִ�. �� ռ� �� ٿ� �� ̳� �� ϴ� ��찡 ��Ƿ� �� ˻縦 ��ϰ� �ȴ�. �� ST�� °� T�� ȭ, Q�� ޼� �� ɱٰ�� ִ�. �ƿ﷯ ��װ˻�(CK, CK-MB, myoglobin, Troponin I)�� , �̵�� Ұ�� Ͽ� �ɱٰ�� ϰ� �ȴ�. �� ڼ��ϰ� ��Ȯ�� ɱ�� �� Ȯ�� ִ� ��Ŀ� ��а˻�� ̿�Ǹ�, �� Ȯ�� 󵿸Ƴ�� Ͽ� �� Ȯ��ϴ� �� ̿�ȴ�.

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ũ�� ๰ġ�� 󵿸� �� ġ�� ȸ�� Ű�� ܰ�� ġ�� ִ�. �๰ġ��δ� �� (streptokinase, urokinase, t-PA, alteplase��)�� , �� ִ� ��̴�. �� ̴� �� ɱٰ�� ȯ�ڿ�� ִ� �� ƴϰ� �� 6�ð� �̳�� ȿ�� ˷�� ۿ�� ִ� ��ŭ �� ȯ�� ÿ� �� ؾ� �Ѵ�. �๰ġ��ʹ� �޸� �� Ȯ��ϰ� ��⿡ ǳ�� ̿� �� Ȯ��ų �� ְ� �ֱٿ�� ư�ȭ �� ܾ�ų� Ư�� ݼ�(��Ʈ)�� Ͽ� �� Ϸ�� ġ�� θ� �̿�ǰ� �ִ�. �� ȯ(3 vessel disease)�̳� �� δ� �� ־� �̷� �� ٸ��  ��ȸ�� ɼ�� ̿�ȴ�. �� ۿ� �� ġ�� 󵿸�� ޶� �پ �̼�� ϱ� �� ϴ� �ƽ��Ǹ� ��(100mg), ��Ÿ ��, ACE �� ְ�, ��ݵ� ��, �索��, ��ݷ��׷�� ÿ� �� ġ��Ͽ�� ϸ� �ݵ�� ݿ��Ͽ�� Ѵ�.

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ù°, �ݿ��Ͽ�� Ѵ�. ��踦 �Ǵ� �� ư�ȭ�� ߿� ū �� ϰԵȴ�. �� ԵǴ� �� ϻ�ȭź�Ҵ� �� ջ�� ߽�Ű�� Ǹ� �̴� ��ư�ȭ�� ߺ�� ⿩�� ϰ� �ȴ�. �� ̹� ��ư�ȭ�� ִ� �� ÿ� �� Ͻ�ų �� , �� Ű�Ƿ� �� ߽�Ű�µ� ��ϹǷ� �ɱٰ�� ߽�Ű�� ȴ�. �ݿ��ϰ� 1�� ư�ȭ�� 輺�� ݿ� �� Ͽ� �� پ�� 2�� ̻� 10�� ݿ��Ͽ�� ݿ��ڿ� �� 輺�� ȴ�.

��°, �� ݵ�� ġ��ؾ� �Ѵ�. �� ӵǸ� �� ջ�� ְ� �Ǿ� �� ɱٰ�� ȭ��Ų��. �� ġ��Ͽ�� ϸ� �� 翡 ��ϸ� ġ�� ȯ�ڴ� 15??20�� ȯ�̳� �� ˷�� ִ�. �� 140��, Ȯ�� 90��Ϸ� ��ϴ� �� .

��°, �ݷ��׷�� ߾� �־�� Ѵ�. �ݷ��׷�� ư�ȭ�� ȴ�. �� ݷ��׷�ġ�� 100cc�� 500mg ��Ϸ� ��ϴ� �� . �ݷ��׷�� μ�� õ�� ó�� ɷ�� 쵵 �ְ�, �ٷ�� 뿡 �� 쵵 �ִ�. �ݷ��׷�� ҽ�Ŵ��ν� �ɱٰ�� ҽ�� 庴�� ִٴ� �� ִ�. ġ�� ⺻�� 븦 ��̴� �� ݷ��׷�� ǰ�� ϰ� �ٸ� ��ǰ�� ü�ϴ� ��̴�. �� 󰡰�ǰ�� ݷ��׷�� Ƽ� �⸧ �� , ��, �ް��븥��, ��, ġ�� ϰ� ��¡��, ��  ��ϴ� �� . �� ư��̳� �Ĺ�� ⸧�� ̿��ϸ� ȿ�� ִ�.

��°, �索�� ġ��ؾ� �Ѵ�. �� °� ��ӵǸ� ��ڿ�� ư�ȭ�� 50%�� , ��ڿ�� 100%�� . �索�� ü�� 索�� ݵǴ� ��, ��, �ݷ��׷� ��¿� �� ǰ� �ִ�.

�ټ�°, �񸸽� ü�߰��Ұ� �ʼ��̴�. �� ü�� ư�ȭ�� ų �� ִ� �� ˷�� ־ ǥ��ü�� ֵ�� ϴ� �� ߿�� ̶� �ϰڴ�.

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�ϰ�°, ��ģ �� ؾ� �Ѵ�. ��밨�̳� ��ڰ�, �� , �� δ�, �ҾȰ� �� ư�ȭ�� ߰� ��谡 �ִ� �� ִ�. �� ̳� ��Ȱ�� ؼҴ� �� ȯ�ڿ�� ؼҽ��Ѿ� �� ҵ��̴�.

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�ɱٰ�� ּ�� ̴�. ��, �索 �� ö�� ġ��ϰ� �� ݷ��׷�� ߵ�� ̸� �ݿ��ϴ� �� ߿��ϴ� �ϰڴ�. ��ҿ� �� ߴ� �� Ȥ��  ��Ÿ�� ã�� ڰ� Ư�� 15�� ̻� �� ޽ǿ�� ٷ� �� ˻��ϴ� �� ɱٰ��  �� ġ�� ҿ� ū �� Ǹ�� ȴ�.