書誌事項
- タイトル別名
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- Report of Three Cases of Acute Pulmonary Embolism after Gastrointestinal Surgery
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The incidence of acute pulmonary embolism (APE) has been increasing in Japan. We report 3 cases of APE after gastrointestinal surgery from January 1999 to December 2002. The latest was treated with compression stockings and intermittent pneumatic compression to prevent APE. One patient suffering from massive brain infarction died of a cerebral hernia. We saved 2 patients, one treated with catheter intervention under percutaneous cardiopulmonary support (PCPS) and another treated with anticoagulation after the insertion of an inferior vena cava filter. Gastrointestinal surgery patients have many clinical risk factors, such as prolonged immobility, cancer, surgery involving the pelvis, and pneumoperitoneum caused by laparoscopic surgery. The diagnosis of pulmonary embolism remains difficult, because its symptoms and clinical findings are not necessarily specific. We must therefore consider APE as a critical complication after gastrointestinal surgery. It is important to introduce PCPS immediately in the seriously ill, and to simultaneously maintain the patients breathing and circulation.
収録刊行物
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- 日本腹部救急医学会雑誌
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日本腹部救急医学会雑誌 24 (1), 99-103, 2004
日本腹部救急医学会
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詳細情報 詳細情報について
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- CRID
- 1390001204735880704
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- NII論文ID
- 130004086917
- 10011978993
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- NII書誌ID
- AN10426469
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- ISSN
- 18824781
- 13402242
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可