| Japanese |
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| Title | 心臓血管外科周術期患者に対する心肺蘇生術(CPR)の予後判定に関する検討 |
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| Subtitle | 原著 |
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| Authors | 松井淳棋, 公文啓二, 矢作直樹, 渡辺泰彦, 春名優樹 |
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| Authors(kana) | |
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| Organization | 国立循環器病センター 外科系集中治療科 |
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| Journal | 循環制御 |
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| Volume | 16 |
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| Number | 3 |
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| Page | 364-370 |
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| Year/Month | 1995/ |
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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」重症患者に対する心肺蘇生(CPR)の予後を判定することを目的として, 国立循環器病センター外科系集中治療科にて過去3年間に施行した成人および先天性心疾患患児45例計61回のCPRを対象とし, 成功・不成功の2群に分類し検討した. 今回の検討結果からは, 高濃度酸素吸入下でPaO2 80mmHg以下あるいはSaO2 90%以下, PH7.2以下, BE-5以下, 血清K濃度5.5mEq・1-1以上, BUN 70mg・dl-1以上, T. Bil 10mg・dl-1以上, ノルエピネフリンもしくはエピネフリン投与0.5μg・kg-1・min-1以上およびIABP施行の有無が予後を判定する指標となりうることが示された. また, 先天性心疾姑息術後例では, SaO2 20%以下を予後の指標とし得る特徴があることや, 基礎病変, 手術侵襲後の循環動態, 肝腎機能などを加味して予後を判断すべきであることが示唆された. |
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| Practice | 基礎医学・関連科学 |
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| Keywords | CPR(Cardiopulmonary resuscitation), DNR(Do not resuscitate), ICU(Intensive care unit), Cardiac Surgery |
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| English |
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| Title | Predictors of Survival Following Cardiopulmonary Resuscitation at Surgical Intensive Care Unit for Patients after Cardiovascular Surgery |
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| Subtitle | |
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| Authors | Junki Matsui, Keiji Kumon, Naoki Yahagi, Yasuhiko Watanabe, Masaki Haruna |
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| Authors(kana) | |
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| Organization | Surgical Intensive Care Unit, National Cardiovascular Center |
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| Journal | Circulation Control |
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| Volume | 16 |
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| Number | 3 |
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| Page | 364-370 |
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| Year/Month | 1995/ |
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| Article | Original article |
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| Publisher | Japan Society of Circulation Control |
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| Abstract | The retrospective study was performed on a total of 61 cardiopulmonary resuscitation (CPR) at surgical intensive care unit of National Cardiovascular Center in 45 patients who underwent cardiovascular surgery. The subjects consisted of 26 adult patients (29 CPR), and 19 childrens or infants (32 CPR) including 10 patients (16 CPR) after total correction and 9 patients (16 CPR) who received palliative surgery. We divided the CPR procedures of these subjects into the successful and unsuccessful groups and compared various variables just before CPR between the groups. There was no successful CPR in adult patients whose variables just before CPR were as follows；80 torr or less in PaO2 and/or 90% or less in SaO2 despite inspiring high concentration oxygen, 7.2 or less in PH, -5 or less in BE, 5.5 mEq・l-1 or more in serum potassium concentration, 70mg・dl-1 or more in BUN, 10mg・dl-1 or more in T.Bil, and/or receiving 0.5 μg・kg-1・min-1 or more of norepinephrin epinephrin B.E. in unsuccessful group of child patients after total correction exceeded -8.5. All patients with 20% or less in SaO2 in patients who received palliative surgery were unsuccessful. (Circ Cont 16：364〜370, 1995) |
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| Practice | Basic medicine |
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| Keywords | CPR(Cardiopulmonary resuscitation), DNR(Do not resuscitate), ICU(Intensive care unit), Cardiac Surgery |
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