| Japanese |
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| Title | 食道癌の術中膠質輸液量の検討 |
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| Subtitle | 原著 |
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| Authors | 武田純三*, 島田宗明*, 高日和*, 山田正文*, 日山敦子*, 小谷透*, 落合亮一*, 関口弘昌*, 福島和昭* |
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| Authors(kana) | |
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| Organization | *慶應義塾大学医学部麻酔学教室・一般集中治療室 |
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| Journal | 循環制御 |
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| Volume | 12 |
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| Number | 1 |
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| Page | 99-103 |
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| Year/Month | 1991/ |
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| Article | 原著 |
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| Publisher | 日本循環制御医学会 |
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| Abstract | 「要旨」開胸・開腹による一期的食道癌根治術患者29名を対象に, 術中に循環動態をモニターしながら, 膠質液と晶質液を併用した輸液管理を行い, その術中必要量を検討した, 膠質液3.6±1.0ml/kg/時, 晶質液5.5±1.8ml/kg/時の輸液で, 術中の循環動態は安定し, 術直後のhypovolemiaも回避することが出来た. 術後は血清総蛋白濃度の低下が見られたが, 循環動態は安定していた. 今回用いた輸液基準は, 晶質液のみを用いた場合に比して総輸液量を少なくすることができ, かつ循環動態の安定化もえられた. また, この量は従来の術中膠質液輸液量に比べ少なかった. 今回の投与量は開胸・開腹による食道癌根治術の術中輸液として適切と考えられた. |
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| Practice | 基礎医学・関連科学 |
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| Keywords | Intraoperative Fluid Therapy, Colloid Osmotic Pressure, Esophageal Cancer, Hemodynamics |
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| English |
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| Title | Re-evaluation of intraoperative fluid therapy with of colloidal solution for esophagectomy |
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| Subtitle | |
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| Authors | Junzo Takeda, Muneaki Shimada, Hiyori Koh, Masafumi Yamada, Atsuko Hiyama, Toru Kotami, Ryuichi Ochiai, Hiromasa Sekiguchi, Kazuaki Fukushima |
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| Authors(kana) | |
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| Organization | Department of Anesthesiology and General Intersive Care Unit Schoel of Medicine Keio University |
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| Journal | Circulation Control |
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| Volume | 12 |
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| Number | 1 |
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| Page | 99-103 |
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| Year/Month | 1991/ |
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| Article | Original article |
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| Publisher | Japan Society of Circulation Control |
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| Abstract | The appropiate volume of colloidal solution for intraoperative fluid therapy was evaluated in 29 patients, who were scheduled for radical esophagectomy by thoracoabdominal approach. Colloidal solution as well as crystalloid solution was infused under the hemodynamic monitoring by using Swan-Ganz catheter. Infusion of colloidal solution of 3.6±1.0 ml/kg/hr and crystalloid solution of 5.5±1.8 ml/kg/hr resulted in the stable cardiovascular state during perioprative period. These results suggests that this fluid therapy needs less total infusion volume compared with that with crystalloid only in which had trended to induce postoperative hypovolemia, and less colloidal fluid was required to maintain the hemodynamics compared with the former protocol during perioperative period of esophagectomy. It is concluded that infusion rate of 3.6 ml/kg/hr of colloidal solution and 5.5 ml/kg/hr of crystalloid solution was adequate to maintain cardiovascular stability during operation of esophageal cancer. |
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| Practice | Basic medicine |
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| Keywords | Intraoperative Fluid Therapy, Colloid Osmotic Pressure, Esophageal Cancer Hemodynamics |
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