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体位変換が一側肺動脈閉塞試験(UPAO)に及ぼす影響について
http://hdl.handle.net/10470/25495
http://hdl.handle.net/10470/254955f2fe5af-7b98-4c7a-9687-fb3ec7d5120d
名前 / ファイル | ライセンス | アクション |
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KJ00006020586.pdf (486.0 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 | 体位変換が一側肺動脈閉塞試験(UPAO)に及ぼす影響について | |||||
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 | Influence of Posture on the Parameters of the Unilateral Pulmonary Arterial Occlusion (UPAO) Test | |||||
著者名 |
湯浅, 章平
× 湯浅, 章平× 入江, 利明× 西内, 正樹× 中島, 秀嗣× 新田, 澄郎 |
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著者別名 | ||||||
姓名 | YUASA, Shohei | |||||
著者別名 | ||||||
姓名 | IRIE, Toshiaki | |||||
著者別名 | ||||||
姓名 | NISHIUCHI, Masaki | |||||
著者別名 | ||||||
姓名 | NAKAJIMA, Hidetsugu | |||||
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. 827-833, 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 | The unilateral pulmonary arterial occlusion (UPAO) test is employed preoperatively to evaluate cardiopulmonary function and determine whether patients can tolerate lung resection. Lung resection is generally performed with the patients in the lateral position. We therefore conducted the UPAO test in both the lateral position and supine position to assess how hemodynamic changes in the acute phase immediately after intraoperative ligation of the pulmonary artery would be predicted by UPAO parameters in both positions. The subjects were 14 lung cancer patients who were scheduled to undergo pneumonectomy or lobectomy between January 1996 and January 1998. They were 10 males and 4 females, and their mean age was 68.7 ± 11.4 years. Mean pulmonary artery pressure (Ppa), mean pulmonary arterial wedge pressure (Ppw), and cardiac output (CO) by the thermodilution method were measured in both the supine and the larteral position to estimate total pulmonary vascular resistance index (TPVRI) and pulmonary vascular resistance index (PVRI). The points selected for making the measurements were the mid-axillary line in the supine position and the spinal midline in the lateral position. Mixed venous blood and arterial blood samples were collected for blood gas analysis. The Ppa values in the supine and the lateral position during UPAO were 18.4 ± 5.7 and 16.6 ± 5.7 mmHg, respectively, TPVRI values were 516 ± 235 and 467 ± 211 dyne・sec・cm^<-5>・m^2, respectively, and the mixed venous blood gas values (PvO_2) were 36.8 ± 3.3 and 35.4 ± 3.2 mmHg (p<0.001), respectively. The TPVRI in the supine position during UPAO has conventionally been used to limit the indications for lung resection. This study showed that TPVRI in the supine position during UPAO may be a useful index for intraoperative management during lung resection, because it reflects pulmonary hemodynamics in the acute phase immediately after ligation of the pulmonary artery. | |||||
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 | ||||||
国立療養所東宇都宮病院循環器科 | ||||||
著者所属 | ||||||
東京女子医科大学医学部第一外科学 |