書誌事項
- タイトル別名
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- Severe Fat Embolism Syndrome Associated With Uncemented Total Hip Arthroplasty.
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説明
A 53-year-old healthy female developed severe fat embolism syndrome (FES) during uncemented total hip arthroplasty under general anesthesia. During the surgical course, her arterial blood pressure, heart rate and expiratory end-tidal carbon dioxide tension remained stable except for a transient drop in percutaneous hemoglobin oxygen saturation from 99% to 95% approximately 20 min after the insertion of a femoral component. After the operation, she did not regain consciousness, and neurological signs were recognized. The clinical diagnosis of FES was made postoperatively by intracerebral high signal intensity spots on the T2-weighed MRI scan, hypoxemia consistent with pulmonary edema on the chest radiograph, petechiae on the palpebral conjunctiva and the anterior chest, laboratory findings indicating disseminated intravascular coagulopathy and fat globules in the urine. She suffered from hypoxemia, hypotension and abnormal bleeding from all skin wounds in the intensive care unit. Ventilatory and hemodynamic supports and therapy for coagulopathy were successful by the 5th postoperative day, but she did not recover con-sciousness. Her impaired consciousness has shown no significant improvement in the ten months since surgery.
収録刊行物
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- 日本臨床麻酔学会誌
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日本臨床麻酔学会誌 15 (9), 644-648, 1995
日本臨床麻酔学会
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詳細情報 詳細情報について
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- CRID
- 1390282679737204864
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- NII論文ID
- 130003581267
- 10010948013
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- NII書誌ID
- AN00330159
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- ISSN
- 13499149
- 02854945
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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
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- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可