| Japanese |
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| Title | 心臓手術後機械的循環補助症例の合併症について |
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| Subtitle | 原著 |
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| Authors | 宇野太啓*, 瀬戸口薫*, 早野良生*, 野口隆之*, 森正和*, 宮本光郎*, 本多夏生*, 葉玉哲生** |
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| Authors(kana) | |
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| Organization | *大分医科大学麻酔学教室, **大分医科大学外科第2 |
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| Journal | 循環制御 |
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| Volume | 12 |
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| Number | 3 |
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| Page | 477-481 |
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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」大分医科大学ICUで開心術後機械的循環補助を施行した55例の合併症に関する要因について検討した. 呼吸不全は最も多い合併症であり全例に人工呼吸を施行した. CABG群はIABP施行時間あるいは術直後のM-indexと人工呼吸時間の間に有意の正の相関関係がみられたが, 弁膜疾患群では相関はみられなかった. 次に多い合併症は急性腎不全で, CABG群では腎不全合併例は非合併例よりIABP時間が有意に長かったが, 弁膜疾患群ではそのような傾向はみられなかった. 弁膜疾患では術後も急速に心機能が回復しないことが要因と考えられた. 術後黄疸は胆汁鬱滞症によるもので, 心不全による鬱血肝や消化管由来エンドトキシンなどが原因と考えられたが予後不良であった. |
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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 | Complications during Mechanical Circulatory Assist in Post Cardiac Surgery Patients |
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| Authors | Takahiro Uno, Kaoru Setoguchi, Yosio Hayano, Takayuki Noguchi, Masakazu Mori, Mitsuro Miyamoto, Natsuo Honda, Tetsuo Hadama* |
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| Authors(kana) | |
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| Organization | Department of Anesthesiology Medical College of Ohita, *The 2nd Department of Surgery Medical College of Ohita |
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| Journal | Circulation Control |
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| Volume | 12 |
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| Number | 3 |
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| Page | 477-481 |
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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 | Mechanical circulatory assist including IABP had been applied to 55 patients in our ICU from Aug. 1985 to Jan. 1991. 39 patients (71%) weaned from mechanical circulatory assist and 32 patients (58%) survived from cardiac surgery. The patients were devided into CABG group and valvular disease group. Mechanical ventilation was necessary to all patients under mechanical circulatory assist. In CABG group positive correlations between IABP time or postoperative M-index and mechanical ventilation time were noted, but there was not such relationship in valvular disease group. Acute renal failure was secondary major complication in patients undergoing mechanical circuratory assist. In CABG group IABP time of the RF patients was significantly longer than that of non RF patients, but in valvular disease group there was no significant difference between IABP time of RF and non RF patients. Therefore, the management of valvular disease patients under mechanical circulatory assist is more difficult than that of CABG patients. |
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| Practice | Basic medicine |
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| Keywords | |
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