| Japanese |
|---|
| Title | 術中合併症の発生状況の検討-循環系合併症を中心に- |
|---|
| Subtitle | |
|---|
| Authors | 大塚直樹*, 安本和正*, 細山田明義* |
|---|
| Authors(kana) | |
|---|
| Organization | *昭和大学医学部麻酔学教室 |
|---|
| Journal | 循環制御 |
|---|
| Volume | 20 |
|---|
| Number | 2 |
|---|
| Page | 170-174 |
|---|
| Year/Month | 1999/ |
|---|
| Article | 原著 |
|---|
| Publisher | 日本循環制御医学会 |
|---|
| Abstract | 「要旨」1995年1月から1997年12月までの3年間に昭和大学病院中央手術部において施行された手術のうち, 術中に発生した重篤な循環系合併症(高度低血圧, 心停止)の発生状況について検討を加えた. 11,054例中21例(0.20%)に術中重篤な循環系合併症の発生をみた. そのうち高度低血圧は10例で, 心停止は11例に認められた. また, 65歳以上が半数以上を占めており, 加齢に伴い合併症の発生率が増加した. 麻酔が原因と思われる合併症は, 全てが麻酔導入時に発生しており, 術前の患者評価を慎重に行うことの重要性が明示された. 術中, 重篤な循環系合併症の発生をみた症例のうち7病日以内に10例(47.6%)が死亡し, 17例(81.0%)が術中または術後に死亡し, 合併症を生じた患者の予後は悪かった. |
|---|
| Practice | 基礎医学・関連科学 |
|---|
| Keywords | |
|---|
| English |
|---|
| Title | The Survey of Hemodynamic Complications during Anesthesia-Especially for Cardiac Arrest and Severe Hypotension- |
|---|
| Subtitle | |
|---|
| Authors | Naoki Otsuka*, Kazumasa Yasumoto*, Akiyoshi Hosoyamada* |
|---|
| Authors(kana) | |
|---|
| Organization | *Department of Anesthesiology, Showa University School of Medicine |
|---|
| Journal | Circulation Control |
|---|
| Volume | 20 |
|---|
| Number | 2 |
|---|
| Page | 170-174 |
|---|
| Year/Month | 1999/ |
|---|
| Article | Original article |
|---|
| Publisher | Japan Society of Circulation Control |
|---|
| Abstract | We investigated the major hemodynamic complications, especially cardiac arrest and severe hypotension, during anesthesia at the operating theater of Showa University Hospital from January 1995 to December 1997. Twenty-one complications, 10 sever hypotention and 11 cardiac arrest (0.20%) occurred in a total number of 11,054 patients. Fourteen among these 21 cases occurred in patients of above 65 years old. There is a tendency that the older the patient, the more likely the incidence of complications. All complications related to anesthesia management occurred during induction of anesthesia. We showed that preoperative assessments of the patient's condition were most important. Ten of 21 patients died within the seventh postoperative day (47.6%), a total of 17 patients died (81.0%). The prognoses of patients with severe complications were worse than that of compared patients without complicaions. |
|---|
| Practice | Basic medicine |
|---|
| Keywords | Complications, Anesthesia, Cardiac arrest, Hypotension |
|---|