| Japanese |
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| Title | 心筋梗塞の既往症を持つ患者の術後合併症に関する統計的観察 |
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| Subtitle | |
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| Authors | 北畑洋*, 安元聰之*, 木村英之*, 近藤明男*, 渡辺優*, 神山有史*, 斎藤隆雄* |
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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 | 6 |
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| Number | 2 |
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| Page | 141-145 |
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| Year/Month | 1985/ |
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| Article | 原著 |
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| Publisher | 日本循環制御研究会 |
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| Abstract | 「要旨」過去22年間に徳島大学医学部附属病院において麻酔科が管理した手術34,039例を対象として, 心筋梗塞既往患者の術後合併症について統計的な検討を試みた. 全症例中明らかな心筋梗塞既往患者は59名で, このうち2名が術後再梗塞を起こし, 5名に重篤な不整脈や肺水腫が発生し, うち4名が死亡した. 心合併症発生の危険因子として年齢60歳以上・梗塞発生から手術迄の間隔が6ヶ月以内・3時間以上の手術・血管手術・術前から高血圧, 貧血, 糖尿病を合併・術中の高血圧, 低血圧の発生などが考えられた. 麻酔中, 後には酸素の需給バランスに特に注意しなければならない. 特に術中の低血圧の発生を避けるために循環動態の注意深い観察と調節が必要である. |
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| Practice | 基礎医学・関連科学 |
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| English |
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| Title | Cardiac Complications after Anesthesia in Patients with Myocardial Infarction |
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| Subtitle | |
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| Authors | Hiroshi Kitahata, Satoshi Yasumoto, Hideyuki Kimura, Akio Kondo, Suguru Watanabe, Arifumi Kohyama, Takao Saito |
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| Authors(kana) | |
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| Organization | Department of Anesthesiology, School of Medicine, The University of Tokushima |
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| Journal | Circulation Control |
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| Volume | 6 |
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| Number | 2 |
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| Page | 141-145 |
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| Year/Month | 1985/ |
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| Article | Original article |
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| Publisher | Japan Society of Circulation Control |
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| Abstract | The authors investigated retrospectively the incidence of and factors predisposing to postoperative reinfarction, serious arrhythmias and/or pulmonary edema in patients with a preoperative history or histories of myocardial infarction. During the period of 1963 through 1984 in Tokushima University Hospital, 34039 cases underwent surgery under anesthesia and of these patients 59 were found to have verified preoperative myocardial infarction. Among those, two patients suffered from postoperative reinfarction and other five developed serious cardiac complications after surgery. The two cases of reinfarction were found operated upon within six months after an episode of myocardial infarction. Risk factors predisposing to postoperative cardiac complications included age over 60 years, the duration of operation exceeding three hours, vascular surgery, preoperative disorders (hypertension, anemia and/or diabetes mellitus) and hypo-and/or hypertensive episodes during anesthesia. A need for meticulous care to maintain an adequate balance between, oxygen demand and supply throughout the procedure in the sort of cases was stressed. |
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| Practice | Basic medicine |
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| Keywords | myocardial infarction, post-anesthetic reinfarction |
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