WEKO3
アイテム
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不穏状態の鎮静に難渋した急性大動脈解離症例に対するdexmedetomidineの使用経験
http://hdl.handle.net/10470/27431
http://hdl.handle.net/10470/274317966707f-4339-454e-9115-a8532c230a25
名前 / ファイル | ライセンス | アクション |
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KJ00006024344.pdf (298.7 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 | 不穏状態の鎮静に難渋した急性大動脈解離症例に対するdexmedetomidineの使用経験 | |||||
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 | Dexmedetomidine Used for Acute Aortic Dissection Associated with Severe Intractable Restlessness | |||||
著者名 |
河野, 康治
× 河野, 康治× 天野, 宏× 河合, 靖 |
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著者別名 | ||||||
姓名 | KOHNO, Koji | |||||
著者別名 | ||||||
姓名 | AMANO, Hiroshi | |||||
著者別名 | ||||||
姓名 | KAWAI, Yasushi | |||||
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 77, 号 4, p. 175-177, 発行日 2007-04 |
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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 | A 63-year-old male patient was hospitalized for acute aortic dissection (Stanford type A). CT examination revealed a dissection from the ascending aorta to the level of the renal artery. The false lumen was completely thrombosed to the level of diaphragm. No ulcer-like projection, enlarged aortic diameter, aortic valve regurgitation, or abnormal electrocardiogram were observed. The onset of the dissection was likely a couple of days before admission based on his medical history. He was transferred to the ICU and treated for pain and hypertension with nicardipine, according to the guidelines for treatment of the chronic phase aortic dissection. He developed severe restlessness and delirium during the night. Sedation with haloperidol failed and his blood pressure increased. We administered dexmedetomidine (DEX), an a adrenergic agonist, to avoid the respiratory depression of high-dose sedatives. No respiratory depression was observed and his hemodynamics were stabilized. The patient was sedated to Ramsay score 3 to 4, similar to normal sleep, and his pain was controlled. We believe that DEX can be effective for sedation and pain relief in the acute phase of aortic dissection. | |||||
著者所属 | ||||||
医療法人社団成和会西新井病院心臓血管外科:東京女子医科大学東医療センター心臓血管外科 | ||||||
著者所属 | ||||||
医療法人社団成和会西新井病院心臓血管外科 | ||||||
著者所属 | ||||||
医療法人社団成和会西新井病院心臓血管外科:東京女子医科大学東医療センター心臓血管外科 | ||||||
著者キーワード | ||||||
主題Scheme | Other | |||||
主題 | acute aortic dissection | |||||
著者キーワード | ||||||
主題Scheme | Other | |||||
主題 | dexmedetomidine |