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胸部大血管手術と脳保護 - 選択的脳潅流,周術期管理と術後中枢神経障害の発生 -
http://hdl.handle.net/10295/1546
http://hdl.handle.net/10295/15463a06b1f7-8ecd-4cf3-bbd4-9efc30cbee44
名前 / ファイル | ライセンス | アクション |
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akigaku31-2d.pdf (1.2 MB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2009-01-19 | |||||
タイトル | ||||||
タイトル | 胸部大血管手術と脳保護 - 選択的脳潅流,周術期管理と術後中枢神経障害の発生 - | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | thoracic aortic surgery | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | antegrade selective cerebral perfusion | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | permanent neurological dysfunction | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | transient neurological dysfunction | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | cerebral autoregulation | |||||
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 | |||||
別タイトル | ||||||
その他のタイトル | Brain protection for thoracic aortic surgery | |||||
著者 |
成田, 卓也
× 成田, 卓也× 山本, 文雄× 山本, 浩史× 石橋, 和幸× 平居, 秀和× 柳, 克祥× [ほか]× NARITA, Takuya× YAMAMOTO, Fumio× YAMAMOTO, Hiroshi× ISHIBASHI, Kazuyuki× HIRAI, Hidekazu× LIU, KX |
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内容記述(抄録) | ||||||
内容記述タイプ | Other | |||||
内容記述 | Background: We reviewed our experiences in order to analyze the factors causing central neurological dysfunction in thoracic aortic arch surgeries with antegrade selective cerebral perfusion (ASCP). Methods: Between October 2000 and September 2003, 76 patients underwent thoracic aortic surgery with ASCP, comprising 55 men (72.4%) and 21 women (27.6%), ranging in age from 27 to 86 years (mean 67.8 ± 10.9 years). Thoracic aortic lesions were identified as aneurysms in 43 patients (56_6%) and dissections in 33 patients (43.4%). Perioperative factors were analyzed by univariate and multivariate analyse to identify predictors of transient neurological dysfunction (TND). Results: Permanent neurological dysfunction (PND) occurred in two patients (2.6%), as a result of embolism during surgery, and TND in 15 patients (19.7%). Univariate logistic regression indicated that ruptured aneurysm, hypertension, preoperative mean blood pressure, history of neurological disease, and operation time had a significant influence on the indication of TND. Multivariate analysis revealed that ruptured aneurysm, history of neurological disease and operation time were statistically significant predictors of TND. Conclusions: It is suggested that cerebral autoregulation may influence the outcome of TND, and precise blood pressure control might be an important factor for maintaing cerebral perfusion. |
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著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
書誌情報 |
秋田医学 巻 31, 号 2, p. 121-130, 発行日 2004-09-01 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 03866106 | |||||
NCID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AN00009294 | |||||
出版者 | ||||||
出版者 | 秋田医学会 |