| Japanese |
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| Title | 胸骨部分切開による開心術中体外循環の工夫 |
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| Authors | 今関隆雄*, 入江嘉仁*, 片山康*, 佐野英基*, 木山宏*, 村井則之*, 秦一剋*, 吉田浩紹*, 権重好*, 汐口壮一*, 斉藤政仁* |
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| Authors(kana) | |
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| Organization | *獨協医科大学越谷病院心臓血管外科 |
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| Journal | 循環制御 |
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| Volume | 20 |
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| Number | 3 |
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| Page | 294-298 |
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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」1997年7月から1999年1月までに, 胸骨部分切開による主に成人弁膜症手術55例(男性31例女性24例, 平均年齢58.2±10.7歳, 体表面積1.54±0.19m2)を施行した. 冠状動脈バイパス術追加症例, 大動脈弁輪拡張症症例は除外して単弁疾患(大動脈弁疾患25例, 僧帽弁疾患22例), 連合弁膜症, 心房細動に対するmaze外科治療, 先天性心疾患を対象に, 初回手術, 再手術を問わず, また性別年齢を問わず連続して低侵襲心臓外科の治療対象とした. 上行大動脈送血, 上下大静脈脱血を基本とした. 吸引脱血は36例に必要で, 吸引脱血を必要としなかった群(10)と比較すると, 体表面積1.59±0.17, 1.44±0.12(p<0.01), 最大流量4.15±0.46, 3.74±0.30, (p<0.01)と有意に大きな患者が多かった. |
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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 | Strategy of Cardiopulmonary Bypass in a Surgical Treatment with Partial Sternotomy Against the Valvular Disease |
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| Authors | Takao Imazeki*, Yoshihito Irie*, Yasushi Katayama*, Eiki Sano*, Hiroshi Kiyama*, Noriyuki Murai*, Ikkoku Hata*, Hirotsugu Yoshida*, Shigeyoshi Gon*, Souichi Shioguchi*, Masahito Saitou* |
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| Authors(kana) | |
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| Organization | *Department of Cardiovascular Surgery, Koshigaya Hospital, Dokkyo University School of Medicine |
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| Journal | Circulation Control |
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| Volume | 20 |
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| Number | 3 |
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| Page | 294-298 |
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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 | From July 1997 through January 1991, 55 valvular disease patients (31 male, 24 female) underwent surgical treatment with using partial sternotomy. Average age and body surface area were 58.2 ± 10.7 years old and 1.54 ± 0.19 m2. Partial sternotomy was applicated for the initial or re-do valvular disease with or without atrial fibrillation except the additional CABG and aortic root replacement. Single approach was selected, and vacuum drainage was used in 36 cases. The non-vacuum drainage group had a significantly smaller body surface area (1.44 ± 0.12 m2) than that (1.59 ± 0.17 m2) of the vacuum drainage group. |
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| Practice | Basic medicine |
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| Keywords | Partial sternotomy, Valvular disease single approach, Vacuum drainage |
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