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肺癌肺切除予定者における合併虚血性心疾患の周術期管理と予後
http://hdl.handle.net/10470/25505
http://hdl.handle.net/10470/25505c738cba1-4e0a-43cb-a4a8-9703217cf07c
名前 / ファイル | ライセンス | アクション |
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KJ00006020584.pdf (753.5 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2010-08-10 | |||||
タイトル | ||||||
タイトル | 肺癌肺切除予定者における合併虚血性心疾患の周術期管理と予後 | |||||
言語 | ||||||
言語 | jpn | |||||
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 | Management and Prognosis of Coexisting Ischemic Heart Disease in Patients Undergoing Surgery for Lung Cancer | |||||
著者名 |
西内, 正樹
× 西内, 正樹× 大貫, 恭正× 神崎, 正人× 銭, 勇× 新田, 澄郎 |
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著者別名 | ||||||
姓名 | NISHIUCHI, Masaki | |||||
著者別名 | ||||||
姓名 | ONUKI, Takamasa | |||||
著者別名 | ||||||
姓名 | KANZAKI, Masato | |||||
著者別名 | ||||||
姓名 | QIAN, Yong | |||||
著者別名 | ||||||
姓名 | NITTA, Sumio | |||||
出版者 | ||||||
出版者 | 東京女子医科大学学会 | |||||
受付日付 | ||||||
日付 | 2010-08-10 | |||||
日付タイプ | Created | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0040-9022 | |||||
NCID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AN00161368 | |||||
書誌情報 |
東京女子医科大学雑誌 巻 70, 号 12, p. 812-819, 発行日 2000-12-25 |
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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 | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | We investigated the perioperative management and prognosis of coexisting ischemic heart disease (IHD) in patients undergoing surgery for lung cancer. Of the 809 patients with primary lung cancer referred for surgery between July 1987 and December 1999, 236 were suspected of having IHD before surgery and underwent cardiac catheterization. Sixty-nine of these patients were found to have significant coronary stenosis (>75%) on coronary angiography. A unilateral pulmonary occlusion test was performed in 40 patients, and the total pulmonary vascular resistance index was over 800 in 8 patients. Surgery was judged to be contraindicated in three patients. Twelve patients underwent percutaneous transluminal coronary angioplasty before surgery. The surgical procedures were combined with drug therapy (n=38), simultaneous coronary artery bypass graft (n=10), and assisted circulation with an intra-aortic balloon pump (n=4). Although myocardial infarction occurred during surgery in two patients, they improved and were discharged from hospital. Severe respiratory complications were the major problems that required management after surgery. Our selection of surgical indications in lung cancer patients based on preoperative evaluation of cardiopulmonary function, appropriate surgical procedures, and perioperative revascularization resulted in no perioperative cardiac death. The perioperative revascularization group of stage I patients with IHD had a longer survival time than the non-revascularization group. | |||||
著者所属 | ||||||
東京女子医科大学医学部第一外科学 | ||||||
著者所属 | ||||||
東京女子医科大学医学部第一外科学 | ||||||
著者所属 | ||||||
東京女子医科大学医学部第一外科学 | ||||||
著者所属 | ||||||
東京女子医科大学医学部第一外科学 | ||||||
著者所属 | ||||||
東京女子医科大学医学部第一外科学 |