| Item type |
デフォルトアイテムタイプ（フル）(1) |
| 公開日 |
2010-07-02 |
| タイトル |
|
|
タイトル |
[症例報告]Umbilical hernia presented with postoperative pulmonary embolism : A case report and a review of the literature |
|
言語 |
ja |
| 作成者 |
Teruya, Tsuyoshi
Furugen, Tomonori
Arakaki, Junya
Taira, Kazuo
Miyazato, Hiroshi
Kudaka, Manabu
Yamazato, Masahito
Ooshiro, Kensei
Yamashiro, Kazuya
Kawano, Koji
Kudaka, Hiroshi
Yogi, Mitsuo
|
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 権利情報 |
|
|
言語 |
ja |
|
権利情報 |
琉球医学会 |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
operation for umbilical hernia |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
postoperative complication |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
pulmonary embolism |
| 内容記述 |
|
|
内容記述タイプ |
Other |
|
内容記述 |
Pulmonary embolism (PE) is a disease with a poor prognosis and common in western people. We experienced a case of PE after an operation for umbilical hernia. A 72-yearold woman whose height was 146 cm and weight was 78 kg, was referred to our hospital because of a soft mass (15×12×8 cm^3) in the umbilical region. Umbilical hernia was diagnosed with both physical examination and abdominal computed tomography. A radical operation was performed. On the 2nd postoperative day when she moved, she suddenly had dyspnea and fell into unconsciousness with hypoxemia. Multiple perfusional defects were revealed by a pulmonary blood flow scintigram, and the case was diagnosed as PE. We started thrombolytic and anticoagulant therapy with heparin and urokinase immediately. She was discharged from the hospital without sequelae on the 33rd postoperative day. It is thought that PE occurred due to deep vein thrombosis, increased intraabdominal pressure caused by the bowel returning into the abdominal cavity, tightening of the abdominal wall and obesity. If postoperative sudden onsets of dyspnea and unconsciousness with hypoxemia of unknown origin are encountered, examination and treatments should immediately be done keeping the presence of PE in mind. |
| 内容記述 |
|
|
内容記述タイプ |
Other |
|
内容記述 |
論文 |
| 出版者 |
|
|
出版者 |
琉球医学会 |
|
言語 |
ja |
| 出版者 |
|
|
出版者 |
Ryukyu Medical Association |
|
言語 |
en |
| 言語 |
|
|
言語 |
eng |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
1346888X |
| 収録物識別子 |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
0289-1530 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AN10369445 |
| 収録物名 |
|
|
収録物名 |
琉球医学会誌 = Ryukyu Medical Journal |
|
言語 |
ja |
| 書誌情報 |
巻 21,
号 3-4,
p. 187-190
|
v21p187.pdf
