| Japanese |
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| Title | 開心術後PCPSの経験 |
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| Subtitle | 原著 |
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| Authors | 田山栄基, 高瀬谷徹, 平塚了一, 炊江秀幸, 西見優, 林田信彦, 福永周司, 明石英俊, 川良武美, 青柳成明 |
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| Authors(kana) | |
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| Organization | 久留米大学医学部外科学講座 |
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| Journal | 循環制御 |
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| Volume | 21 |
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| Number | 4 |
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| Page | 413-418 |
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| Year/Month | 2000/ |
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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 | 開心術後人工心肺離脱困難症に対して用いたportable cardiopulmonary bypass support system(PCPS)を, 生存群(8例)と死亡群(9例)に分け予後規定因子, 今後の改善点などについて検討した. 有意な危険因子は, 年齢, 周術期大量出血, およびPCPS中の左室減圧不良が挙げられた. 開心術後PCPSの成績向上のためには, 完全な止血, 至適な抗凝固療法, 十分な左室減負荷が重要である. さらに, 心機能を正確に把握し循環補助へ移行するタイミングを逸さないことも肝要である. |
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| Practice | 基礎医学・関連科学 |
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| Keywords | PCPS, Postcardiotomy, Circulation assist, Mechanical assist |
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| English |
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| Title | Clinical Experience of Postcardiotomy Portable Cardiopulmonary Support System |
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| Subtitle | |
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| Authors | Eiki Tayama, Toru Takaseya, Ryoichi Hiratsuka, Hideyuki Kashikie, Masaru Nishimi, Nobuhiko Hayashida, Shuji Fukunaga, Hidetoshi Akashi, Takemi Kawara, Shigeaki Aoyagi |
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| Authors(kana) | |
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| Organization | Department of Surgery,Kurume University School of Medicine |
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| Journal | Circulation Control |
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| Volume | 21 |
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| Number | 4 |
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| Page | 413-418 |
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| Year/Month | 2000/ |
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| Article | Original article |
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| Publisher | Japan Society of Circulation Control |
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| Abstract | We reviewed our experience of the postcardiotomy portable cardiopulmonary support system (PCPS). Risk factors for prognosis were estimated by comparing survival group (n=8) and non-survival group (n=9). Significant risk factors were age, perioperative large amount of bleeding, and poor left ventricle decompression. In order to improve outcome, complete hemostasis, adequate anticoagulant therapy, and proper left ventricle decompression were essential. Accurate cardiac function monitoring and timing to introduce the mechanical assist are also important. |
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| Practice | Basic medicine |
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| Keywords | PCPS, Postcardiotomy, Circulation assist, Mechanical assist |
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