2024-03-29T09:13:18Z
https://u-ryukyu.repo.nii.ac.jp/oai
oai:u-ryukyu.repo.nii.ac.jp:02015921
2022-10-31T07:46:59Z
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1642838403551:1642838412624
[原著]開腹手術術後における血行動態の検討
Postoperative Hemodynamic Changes in Abdominal Surgery
知花, 朝美
草場, 昭
喜名, 盛夫
大嶺, 靖
城間, 寛
金城, 治
新屋, 瑛一
大田, 守雄
宮城, 和史
鎌田, 義彦
赤崎, 満
伊波, 潔
国吉, 幸男
古謝, 景春
屋良, 勲
Chibana,Tomomi
Kusaba, Akira
Kina, Morio
Ohmine, Yasushi
Shiroma, Hirosi
Kinjyou, Osamu
Shinya, Eiiti
Ohta, Morio
Miyagi, Kazufumi
Kamata, Yosihiko
Akasaki, Mituru
Iha, Kiyoshi
Kuniyoshi, Yukio
Koja, Kageharu
Yara, Isao
open access
琉球医学会
hemodynamics
hyperdynamic state
postoperative cardiopulmonary complication
Swan-Ganz catheter
Preoperative and postoperative hemodynamic changes in 29 patients underwent general abdominal surgeries, including cholecystectomy, gastrectomy, colectomy or vascular reconstruction were studied using a Swan-Ganz catheter to clarify characteristic hemodynamic changes in the postoperative cardiopulmonary events at an early stage. As hemodynamic parameters, pulmonary arterial pressure(PAP), pulmonary arterial wdge pressure (PAWP), right arterial pressure(RAP), cardiac output(CO), cardiac index (CI), pulmonary arterial resistance(PAR), total peripheral arterial resistance(TPR), left ventricular stroke work index(LVSWI), right ventricural stroke work index(RVSWI), left ventricular minute work index(LW) , right ventricular minute work index(RW) were measured and calculated. The patients with uneventful postoperative course were in a moderate hyperdynamic statewith a significant increase in CI, LW, RW.LVSWI and moderate decrease in TPR 2 to 4 hours afterthe surgeries, reverting to the preoperative state in the following 3 days. While, the patients with postoperative cardiopulmonare events, i.e. pulmonary atelectasis and/or pleural effusion showed low response of the left ventricular work (no increase in LVSWI) to increased PAP and PAWP at 2 to 4 hours or excessive hyperdynamic state with rapid and excessive increase in CI, LW, RW,LVSWI,RVSWI, with high TPR at 2 to 3 days.
論文
琉球医学会
Ryukyu Medical Association
1991
jpn
journal article
VoR
http://hdl.handle.net/20.500.12000/0002015921
https://u-ryukyu.repo.nii.ac.jp/records/2015921
1346888X
0289-1530
AN10369445
琉球医学会誌 = Ryukyu Medical Journal
12
1
1
7
https://u-ryukyu.repo.nii.ac.jp/record/2015921/files/v12p1.pdf