| Japanese |
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| Title | 腹部大動脈瘤破裂に対し緊急手術を行い術後に集中治療を要した在宅酸素療法下の超高齢者の1例 |
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| Subtitle | 症例 |
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| Authors | 岡田修一*, 金子達夫*, 志賀達哉**, 江連雅彦*, 佐藤泰史*, 長谷川豊*, 碓井正**, 小池則匡*, 小此木修一*, 金本匡史**, 松本直樹**, 滝原瞳* |
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| Authors(kana) | |
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| Organization | *群馬県立心臓血管センター心臓血管外科, **群馬県立心臓血管センター麻酔科 |
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| Journal | 循環制御 |
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| Volume | 30 |
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| Number | 3 |
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| Page | 179-181 |
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| Year/Month | 2009/5 |
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| Article | 報告 |
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| Publisher | 日本循環制御医学会 |
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| Abstract | 「はじめに」腹部大動脈瘤(Abdominal Aortic Aneurysm, 以下AAA)破裂は依然として予後不良の疾患である. また, 高齢化社会に伴い様々な合併症を有する患者も増加している. 今回我々は, 在宅酸素療法(Home Oxygen Therapy, 以下HOT)を行っていた超高齢者AAA破裂に対して緊急手術と集中治療を施行して良好な結果を得たので報告する. 「症例」症例は88歳の男性. 慢性閉塞性肺疾患(Chronic Obstructive Pulmonary Disease, 以下COPD)で約10年前からHOT(酸素流量は日中は1.5L, 夜間は1Lであった)を導入されていた. 1月4日に腹部痛を主訴に前医を受診し, CT(Computed Tomography)で腹部大動脈瘤破裂と診断され, 当院緊急搬送となった. 当院搬送時は意識清明であったがショック状態で, 急速輸液とカテコラミン投与により血圧78/43mmHg, 脈拍88/分を維持していた. |
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| Practice | 基礎医学・関連科学 |
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| Keywords | home oxygen therapy, ruptured abdominal aortic aneurysm |
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| English |
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| Title | Successful Intensive Care of Ruptured Abdominal Aortic Aneurysm in an Octogenarians on Home Oxygen Therapy |
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| Subtitle | |
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| Authors | Syuichi Okada*, Tatsuo Kaneko*, Tatsuya Siga**, Masahiko Ezure*, Yasushi Satoh*, Yutaka Hasegawa*, Tadashi Usui**, Norimasa Koike*, Syuichi Okonogi*, Masafumi Kanamoto**, Naoki Matsumoto**, Hitomi Takihara* |
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| Authors(kana) | |
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| Organization | *Division of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center, **Division of Anesthesiology, Gunma Prefectural Cardiovascular Center |
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| Journal | Circulation Control |
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| Volume | 30 |
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| Number | 3 |
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| Page | 179-181 |
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| Year/Month | 2009/5 |
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| Article | Report |
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| Publisher | Japan Society of Circulation Control in Medicine |
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| Abstract | An 88-year-old man receiving home oxygen therapy for about 10 years was admitted to our hospital in a shock state and the abdominal computed tomography scanning revealed ruptured abdominal aortic aneurysm (AAA) with a maximum diameter of about 70mm. We performed an emergency operation and the AAA was replaced with a straight vascular graft. He was extubated on the 1st postoperative day and received noninvasive positive pressure ventilation (NPPV) for hypercapnic respiratory failure. He received continuous hemodiafiltration (CHDF) for oliguria. He was discharged from our intensive care unit on the 3rd postoperative day and was discharged from our hospital on the 24th postoperative day. |
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| Practice | Basic medicine |
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| Keywords | home oxygen therapy, ruptured abdominal aortic aneurysm |
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