| Japanese |
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| Title | 麻酔覚醒後発生した一過性心筋虚血の治療経験 |
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| Subtitle | 症例 |
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| Authors | 斎藤隆雄, 岡崎亀義, 荒瀬友子, 福田勝, 渡辺美子, 篠原祥三 |
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| Authors(kana) | |
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| Organization | 徳島大学医学部麻酔学教室 |
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| Journal | 循環制御 |
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| Volume | 2 |
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| Number | 1 |
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| Page | 179-189 |
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| Year/Month | 1981/ |
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| Article | 報告 |
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| Publisher | 日本循環制御研究会 |
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| Abstract | はじめに 麻酔覚醒後, 回復室において一過性に顕著な心筋虚血症状を呈したが, 治療により急速に回復せしめ得た症例を経験したので報告するとともに, 発生機序等を中心に若干の考察を試みた. 症例 Y.H. 55歳 男性 胃体部早期癌の診断で胃切除術（Billroth I）を施行, そのさい胆石を発見したので胆嚢摘出術をも併せ行った. 家族歴：特記すべきことはなかった. 既往歴：（1）約1年前に, 全身倦怠感, 胸部圧迫感などを訴えて狭心症の疑いで入院し, 各種の検査（冠状動脈造影を含む）を受けたがとくに異常はなく, 約1カ月後に軽快退院したことがある. 入院中は服薬等ごく一般的な狭心症の治療を受けた模様であるが, 遠隔地の病院であったため詳細は不明である. 職業柄（管理職）多忙で, スポーツ等体を動かす機会がほとんどなかった. 宴会が多く, 睡眠, 食事などの時間は不規則であった. しかし, 前回の入院前および退院後にも, 勤務および日常生活にはとくに支障はなかった. |
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| Practice | 基礎医学・関連科学 |
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| Keywords | |
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| English |
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| Title | Transient myocardial ischemia observed during recovery from anesthesia. Report of a case. |
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| Subtitle | |
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| Authors | Takao Saito, Kameyoshi Okazaki, Tomoko Arase, Masaru Fukuda, Yoshiko Watanabe, Shozo Shinohara |
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| Authors(kana) | |
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| Organization | Department of Anesthesiology Tokushima University School of Medicine |
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| Journal | Circulation Control |
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| Volume | 2 |
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| Number | 1 |
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| Page | 179-189 |
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| Year/Month | 1981/ |
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| Article | Report |
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| Publisher | Japan Society of Circulation Control |
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| Abstract | A case of transient severe myocardial ishemia observed during recovery from general anesthesia was reported in the present paper. A 55 year old male received partial gastrectomy（Billroth I）for his carcinoma of the stomach under morphine-nitrous oxidepancuronium anesthesia. On his emergence from the anesthesia, sudden change of ECG including ST elevations in 2, 3 and AVF leads as well as 2nd degree A-V block was noted. A profound fall in blood pressure followed, thereafter. Myocardial ischemia of the area perfused by the right coronary artery was suspected. An immediate intravenous infusion of nitroglycerin in a rate of 1 microgram／kg／min accompanied by a slow norepinephrine infusion successfully restored the patient status toward the previous one in a relatively short period. Recovery was uneventful, thereafter. A possibility of Prinzmetal's variant form of angina was strongly suspected, and pathogenesis, prophylaxis and treatment of the coronary spasm related to anesthesia and surgery were discussed in details. |
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| Practice | Basic medicine |
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