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Delayed Surgery for Congenital Diaphragmatic Hernia
http://hdl.handle.net/10069/16106
http://hdl.handle.net/10069/16106ff251cb8-9c28-4b0c-b9c1-860b067d8702
名前 / ファイル | ライセンス | アクション |
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acta43_01_10_t.pdf (383.8 kB)
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2008-03-13 | |||||
タイトル | ||||||
タイトル | Delayed Surgery for Congenital Diaphragmatic Hernia | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | congenital diaphragmatic hernia | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | delayed surgery | |||||
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 | departmental bulletin paper | |||||
著者 |
Kurosaki, Nobuko
× Kurosaki, Nobuko× Ohbatake, Masayuki× Ashizuka, Shuichi× Hisamatsu, Takashi× Ayabe, Hiroyoshi× Fukuda, Masafumi× Masuzaki, Hideaki |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Infants with congenital diaphragmatic hernia (CDH) operated on at 12 hours of age have poor prognosis. Development of severe hypoxemia due to hypoplastic lung and pulmonary vascular constriction is the major prognostic factor. Infants who show reasonable gas exchange at first but develop severe hypoxemia a few hours following surgery (honeymoon period) may have benefited from delayed radical surgery. During the waiting period, the patient should be kept on a minimal handling and stabilizing protocol. In our institute, 24 CDH patients were treated from 1970 to 1995. These patients were divided into two groups : group I (n = 11) was the first stage (1970-1984), group II (n = 13) was the second stage (1985-1995). The total survival rate of these two groups did not improve. However our experience with the last six cases using this stabilizing protocol between 1989 and 1995 suggests that delayed repair surgery for CDH improved the survival rate. The survival rate changed from 33.3% in group I to 44.4% in group II. We report our cases, including clinical status, surgical findings and treatments. | |||||
書誌情報 |
Acta medica Nagasakiensia 巻 43, 号 1-2, p. 55-57, 発行日 1998-06-30 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 00016055 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA00508430 | |||||
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 | |||||
sortkey | ||||||
P00055-P00057 | ||||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Acta medica Nagasakiensia. 1998, 43(1-2), p.55-57 |