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フルテキストURLA020048000104.pdf ( 355.4KB ) 公開日 2010-04-19
タイトルSuccessfully treated respiratory failure and pulmonary hypertension caused by Pickwickian syndrome with nasal bilevel positive airway pressure ventilation
作成者Mitani, Reo
Haraguchi, Masahiko
Harada, Nozomu
Takata, Satoko
Dairaku, Yuka
Kimura, Masahiro
Matsuzaki, Masunori
作成者ヨミミタニ, レオ
ハラグチ, マサヒコ
ハラダ, ノゾム
タカタ, サトコ
ダイラク, ユウカ
キムラ, マサヒロ
マツザキ, マスノリ
作成者所属山口大学医学部
内容記述(抄録等)A 36-year-old women (height 157cm, weight 114kg, body mass index 46.2kg/㎡) with intolerable sleepiness and cyanosis was diagnosed with respiratory failure caused by Pickwickian syndrome. Echocardiography showed normal left ventricular systolic function and moderate pulmonary hypertension. Pulmonary artery systolic pressure was estimated at 50mmHg with doppler echocardiography. Oxygen inhalation and diuretics were started. Althouth the patient was treated with nasal continuous positive airway pressure ventilation, her hypoxemia and hypercapnia did not improve. Bilevel positive airway pressure ventilation with inspiratory pressure 10cmH2O and expiratory pressure 2cmH2O was quite effective in improving hypoxemia and hypercapnia, and pulmonary hypertension had disappeared at the discharge.
本文言語eng
著者キーワードObesity hypoventilation syndorome
sleep apnea syndrome
non-invasive positive airway pressure ventilation
主題医学
資料タイプtext
ファイル形式application/pdf
出版者Yamaguchi University Graduate School of Medicine
NII資料タイプ紀要論文
ISSN0513-1812
NCIDAA00594272
学内刊行物(紀要等)The bulletin of the Yamaguchi Medical School
掲載誌名The bulletin of the Yamaguchi Medical School
掲載誌名別表記山口医科大学紀要
48
1-2
開始ページ21
終了ページ24
発行日2001-06
著者版/出版社版出版社版
リポジトリIDA020048000104
地域区分山口大学
URIhttp://www.lib.yamaguchi-u.ac.jp/yunoca/handle/A020048000104