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Thirty-one patients were divided into the three groups. Group I : comprise of five with partial resection or exploratory thoracotomy, Group II : 24 with lobectomy and Group III : two with pneumonectomy. 1) EVLE showed 6.0±2.9/kg six hours after surgery 6.8±3.3ml/kg on day 1, 6.6±3.0ml/ kg on day2, 6.5±2.8ml/kg on day 3 with significant decrease (p\u003c0.05) as compared with preoperative one. 2) %EVLW, in which pulmonary vascular resistance was corrected, increased on day 1 with significant difference (p\u003c0.05), indicating 100.7±3.75 at six hours, 118.1±48.4% on day 1, 117±53.7 on day 2, 107.8±32.3% on day 3. 3) %EVLW in group II was much higher than that in Group I on day 1 (p\u003c0.05). 4) %EVLW in patients with massive blood transfusion over 800m1 showed significantly high values on day 2(p≠0.05). 5) %EVLW in patients with the operation time of more than four hours was higher than in those with less than four hours. In conclusion, EVLW tended to increase in case of prolonged operation time over four hours and large volume blood transfusion over 800ml when wide resection beyond lobectomy would be attempted. 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Pre-and Postoperative Changes in Extravascular Lung Water in Patients with Lung Resection
http://hdl.handle.net/10069/15854
http://hdl.handle.net/10069/15854584a76c3-1692-4748-95e3-b06a577acf85
名前 / ファイル | ライセンス | アクション |
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acta35_01_54_t.pdf (638.6 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 | Pre-and Postoperative Changes in Extravascular Lung Water in Patients with Lung Resection | |||||
言語 | ||||||
言語 | eng | |||||
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 |
Azuma, Kouji
× Azuma, Kouji |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | The availability of measurement of extravascular lung water (EVLW) were clinically evaluated by using double indicator dilution technique and benefit from EVLW measurement was assessed in patients who underwent pulmonary resection. Thirty-one patients were divided into the three groups. Group I : comprise of five with partial resection or exploratory thoracotomy, Group II : 24 with lobectomy and Group III : two with pneumonectomy. 1) EVLE showed 6.0±2.9/kg six hours after surgery 6.8±3.3ml/kg on day 1, 6.6±3.0ml/ kg on day2, 6.5±2.8ml/kg on day 3 with significant decrease (p<0.05) as compared with preoperative one. 2) %EVLW, in which pulmonary vascular resistance was corrected, increased on day 1 with significant difference (p<0.05), indicating 100.7±3.75 at six hours, 118.1±48.4% on day 1, 117±53.7 on day 2, 107.8±32.3% on day 3. 3) %EVLW in group II was much higher than that in Group I on day 1 (p<0.05). 4) %EVLW in patients with massive blood transfusion over 800m1 showed significantly high values on day 2(p≠0.05). 5) %EVLW in patients with the operation time of more than four hours was higher than in those with less than four hours. In conclusion, EVLW tended to increase in case of prolonged operation time over four hours and large volume blood transfusion over 800ml when wide resection beyond lobectomy would be attempted. Surgeons should be aware of pre-pulmonary edema state in such a patient. | |||||
書誌情報 |
Acta medica Nagasakiensia 巻 35, 号 1-4, p. 289-297, 発行日 1990-12-14 |
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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 | ||||||
P00289-P00297 | ||||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Acta medica Nagasakiensia. 1990, 35(1-4), p.289-297 |