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タイトル開心術の経験 : 102例の治験例を中心として
タイトルヨミカイシンジュツ ノ ケイケン : 102レイ ノ チケンレイ オ チュウシン トシテ
タイトル別表記Early Clinical Experiences with 102 Cases of Open Heart Surgery
作成者兼行, 俊博
江里, 健輔
藤井, 康宏
作成者ヨミカネユキ, トシヒロ
エサト, ケンスケ
フジイ, ヤスヒロ
作成者別表記Kaneyuki, Toshihiro
Esato, Kensuke
Fujii, Yasuhiro
作成者所属山口大学医学部
内容記述(抄録等)The purpose of this paper is to document analytic review upon 102 cases undergoing open heart surgery from Oct., 1964 to Dec., 1969. 1) ASD - Two of 32 cases in whom secundum type defects of various size were found and repaired by direct sutures, died of postoperative hemorrhage and heart failure due to inadvertent overtransfusion respectively (5.8 per cent of mortality). One with a large ASD of more than 5 cm. in diameter got pulmonary edema for a few days after surgery and then recovered completely. All survivors are doing well so far. 2) VSD - Four of 42 cases undergoing closure of the defect died. The mortality rate was 9.5 per cent. Causes of death were as follows : i) massive bleeding during ventriculotomy under usual cardiopulmonary by-pass because of co-existence of persistent left superior vena cava, ii) right heart failure due to pulmonary hypertension immediately after surgery, iii) irreversible myocardial dysfunction after closure of VSD combined with aortic regurgitation, and iv) pneumonia. On discharge cardiac murmurs were heard in eleven of 38 survivors at any intensity, but residual shunt was suspected in one only.
本文言語jpn
主題医学
資料タイプtext
出版者山口大学医学会
出版者ヨミヤマグチ ダイガク イガッカイ
NII資料タイプ学術雑誌論文
査読の有無査読あり
ISSN0513-1731
NCIDAN00243156
学内刊行物(紀要等)山口医学
掲載誌名山口医学
19
1
開始ページ101
終了ページ111
発行日1970-03
著者版/出版社版その他
リポジトリIDB030019000109
地域区分山口大学
URIhttp://www.lib.yamaguchi-u.ac.jp/yunoca/handle/B030019000109