| Japanese |
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| Title | 待機的冠動脈形成術におけるマグネシウム配合輸液の有効性 |
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| Subtitle | |
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| Authors | 田中修*, 原田智雄*, 高橋英二*, 脇本博文*, 佐々木俊雄*, 水野幸一*, 三宅良彦** |
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| Authors(kana) | |
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| Organization | *聖マリアンナ医科大学東横病院循環器内科, **聖マリアンナ医科大学循環器内科 |
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| Journal | 循環制御 |
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| Volume | 28 |
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| Number | 2 |
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| Page | 125-129 |
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| Year/Month | 2007/6 |
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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」マグネシウム(Mg)配合輸液が待機的冠動脈形成術(e-PCI)後の血清電解質, 腎機能および心機能に与える影響を検討した. 対象はe-PCIを施行した40例で, 施行前にMg配合輸液(Mg群)とMg非配合輸液(C群)の2群に分けた. e-PCI前後で血清Mg濃度はMg群で変化を認めず, C群で前値2.4±0.3mg/dlから2.2±0.3mg/dlへ有意に減少した(p<0.0001). 血清クレアチニンは両群で有意差を認めず, 平均尿量はMg群1,455.0mlがC群1,135.5mlより有意に多かった(p=0.049). 両群の不整脈や血圧に有意な差はなかった. Mg配合輸液はe-PCIの輸液療法において血清Mg濃度を維持し, 尿量を増加した. Mg配合輸液はe-PCI時の合併症予防に有用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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| Keywords | percutaneous coronary intervention: PCI, magnesium, urine volume, fluid therapy, contrast medium |
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| English |
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| Title | Comparison of Acetated Ringer's Solutions with and without Magnesium after Elective Percutaneous Coronary Intervention (e-PCI) |
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| Subtitle | |
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| Authors | Osamu Tanaka*, Tomoo Harada*, Eiji Takahashi*, Hirofumi Wakimoto*, Toshio Sasaki*, Koichi Mizuno*, Fumihiko Miyake** |
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| Authors(kana) | |
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| Organization | *Department of Cardiology, St Marianna University School of Medicine, Toyoko Hospital, **Department of Cardiology, St Marianna University School of Medicine |
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| Journal | Circulation Control |
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| Volume | 28 |
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| Number | 2 |
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| Page | 125-129 |
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| Year/Month | 2007/6 |
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| Article | Original article |
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| Publisher | Japan Society of Circulation Control |
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| Abstract | To compare acetated Ringer's solutions with and without magnesium after elective percutaneous coronary intervention (e-PCI), forty e-PCI patients were randomly allocated to acetated Ringer's solutions with magnesium (Mg) group or without magnesium (C) group. The total volume was 2,000ml/subject in both groups. Administration rate was 100ml/hr. Before and after the administration, serum concentrations of Mg, Na, K, Ca, and Cl, neurohumoral factor (ANP and BNP), BUN, and creatinine were measured. Urine volume was also investigated. The Mg concentration was maintained in the Mg group, whereas that in the C group significantly decreased from 2.4±0.3mg/dl to 2.2±0.3mg/dl(p=0.001). ANP and BNP levels increased, but not significantly in the both groups. The Mg group showed greater urine volume than the C group (1455.0ml vs 1135.5ml, p=0.049). BUN, creatinine and blood pressure were not significantly different between the groups. Acetated Ringer's solution containing Mg may maintain serum Mg concentration and increase urine volume after e-PCI. |
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| Practice | Basic medicine |
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| Keywords | percutaneous coronary intervention: PCI, magnesium, urine volume, fluid therapy, contrast medium |
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