@article{oai:u-ryukyu.repo.nii.ac.jp:02015921, author = {知花, 朝美 and 草場, 昭 and 喜名, 盛夫 and 大嶺, 靖 and 城間, 寛 and 金城, 治 and 新屋, 瑛一 and 大田, 守雄 and 宮城, 和史 and 鎌田, 義彦 and 赤崎, 満 and 伊波, 潔 and 国吉, 幸男 and 古謝, 景春 and 屋良, 勲 and Chibana,Tomomi and Kusaba, Akira and Kina, Morio and Ohmine, Yasushi and Shiroma, Hirosi and Kinjyou, Osamu and Shinya, Eiiti and Ohta, Morio and Miyagi, Kazufumi and Kamata, Yosihiko and Akasaki, Mituru and Iha, Kiyoshi and Kuniyoshi, Yukio and Koja, Kageharu and Yara, Isao}, issue = {1}, journal = {琉球医学会誌 = Ryukyu Medical Journal}, month = {}, note = {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}, pages = {1--7}, title = {[原著]開腹手術術後における血行動態の検討}, volume = {12}, year = {1991} }