| Japanese |
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| Title | くも膜下出血術後における潜在的膵機能障害 |
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| Subtitle | |
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| Authors | 加藤真弓*, 野村実**, 小高桂子*, 長沢千奈美**, 野村ゆう子**, 鈴木英弘** |
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| Authors(kana) | |
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| Organization | *済生会栗橋病院麻酔科, **東京女子医科大学麻酔科学教室 |
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| Journal | 循環制御 |
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| Volume | 20 |
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| Number | 1 |
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| Page | 86-89 |
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| Year/Month | 1999/ |
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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」くも膜下出血によりクリッピング手術を受けた患者39例における術後血清アミラーゼ, 血清リパーゼ値を術前, 術翌日, 術後3日, 1週間, 2週間とその推移を観察した. 手術後血清アミラーゼ15例(39%), および血清リパーゼ23例(60%)が高値を示した. 血清アミラーゼ高値群は正常値を示しているものと比較すると術前Glasgow Coma Scale(以下GCS)が低く, 急性膵炎の危険因子が多い傾向にあり, 術後死亡した症例が含まれていた. 以上よりクリッピング手術後潜在的膵機能障害の可能性が示唆され, 術後血清アミラーゼ, 血清リパーゼ値が高値の症例では, 注意深い経過観察が必要であると考えられた. |
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| Practice | 基礎医学・関連科学 |
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| English |
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| Title | Hyperlipasemia after Clipping Surgery in Patients with Subarachnoid Hemorrhage |
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| Subtitle | |
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| Authors | Mayumi Kato*, Minoru Nomura**, Keiko Kodaka*, Chinami Nagasawa**, Yuko Nomura**, Hidehiro Suzuki** |
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| Authors(kana) | |
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| Organization | *Department of Anesthesiology, Saiseikai Kurihashi Hospital, **Department of Anesthesiology, Tokyo Womens Medical University |
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| Journal | Circulation Control |
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| Volume | 20 |
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| Number | 1 |
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| Page | 86-89 |
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| Year/Month | 1999/ |
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| Article | Original article |
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| Publisher | Japan Society of Circulation Control |
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| Abstract | Hyperamylasemia and hyperlipasemia are not uncommonn observed after neurological surgery. We retrospectively studied 39 patients undergoing clipping surgery in patients with subarachnoid hemorrhage to identify hyperamylasemia and hyperlipasemia as a diagnosis of pancreatitis. Serum amylase and lipase were measured on the preoperative, 1st, 3rd, 7th and 14th postoperative days. The patients with severe renal dysfunction and hepatic dysfuncton were excluded prior to this study. Fifteen patients (39%) developed hyperamylasemia and 23 patients (60%) hyperlipasemia. Twelve patients (52%) still suffered from hyperlipasemia even after two weeks postoperatively. In this study no patient showed clinical findings of pancreatitis postoperatively, but persistent hyperamylasemia with hyperlipasemia might suggest pancreatic injury in clinical setting. We concluded hyperlipasemia after clipping surgery in patients with subarachnoid hemorrhage was not uncommon. |
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| Practice | Basic medicine |
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| Keywords | Postoperative, Hyperamylasemia, Hyperlipasemia, Subarachnoid hemorrhage, Pancreatitis |
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