呼吸器外科における致死的合併症

大貫 恭正, 佐久間 勉, 相良 勇三, 磯上 勝彦, 斎藤 秀行, 小野 貞文, 鈴木 聡, 千田 雅之, 小池 加保児, 仲田 祐, 新田 澄郎

doi:10.2995/jacsurg1987.1.20

書誌事項

タイトル別名

Fatal complications after thoracic surgery

説明

Various complications occuring after thoracotomy are quite difficult to treat and often lead to death. Of 1, 100 patients undergoing chest surgery in the past five years in our institution, 32 patients (2.9%) died within 3 months : 16 (1.45%) died of cancer and 16 (1.45%) died of complications. Under 50 years of age no patients died of complications. The causes of death due to complications were ARDS (7 cases) from pneumonia, pulmonary thromboembolism (4 cases), postoperative bleeding (2 cases), cerebral bleeding (1 case), renal failure (1 case) and gastro-intestinal bleeding (1 case). The values of total pulmonary vascular resistance index at the unilateral pulmonary arterial occlusion test in 3 cases of these were over 690 dyne.sec.cm^-5. Symptoms of postoperative pulmonary thromboembolism were similar to those of other complications. To diagnose this complication, subselective pulmonary angiography using a baloontipped catheter at the bedside was useful in patients who were incapable of being moved for severe condition.

収録刊行物

日本呼吸器外科学会雑誌呼吸器外科

日本呼吸器外科学会雑誌呼吸器外科 1 (2), 20-25, 1987

特定非営利活動法人日本呼吸器外科学会

キーワード

詳細情報詳細情報について

CRID: 1390001204352604288

NII論文ID: 130003653313

DOI: 10.2995/jacsurg1987.1.20

ISSN: 18841724; 09174141

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