{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1390282680001582848.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.3143/geriatrics.14.245"}},{"identifier":{"@type":"PMID","@value":"904094"}},{"identifier":{"@type":"NDL_BIB_ID","@value":"1836799"}},{"identifier":{"@type":"URI","@value":"http://id.ndl.go.jp/bib/1836799"}},{"identifier":{"@type":"URI","@value":"https://ndlsearch.ndl.go.jp/books/R000000004-I1836799"}},{"identifier":{"@type":"NAID","@value":"130003651215"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/1978113287"}}],"resourceType":"学術雑誌論文(journal article)","dc:title":[{"@language":"en","@value":"Electrocardiographic Changes Following Gastric Surgery with Special Reference to the Blood Transfusion"},{"@value":"老年者胃癌, 胃潰瘍手術に於ける心電図変化と輸血量の関係"},{"@language":"ja-Kana","@value":"ロウネンシャ イガン イ カイヨウ シュジュツ ニ オケル シンデンズ ヘンカ"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"Electrocardiographic changes following gastric surgery in the aged were investigated with special reference to the amount of blood transfusion. The subjects were composed of 59 patients with gastric cancer and 19 patients with gastric ulcer, operated on between 1972 and 1975.<br>The postoperative electrocardiographic changes were classified into five groups; that is 1) electrocardiogram simulating myocardial infaction (ESMI) in 8.5%, 2) marked ischemic changes in 10.2%, 3) slight ischemic changes in 8.5%, 4) non-specific ST, T changes in 18.6% and 5) no change in electrocardiogram in 54.2% in the group of gastric cancer. In the group of gastric ulcer these electrocardiographic changes were Observed in 5.3%, 21.0%, 15.8%, 15.8%, and 42.1% respectively, and no difference was found in both groups.<br>The patients received blood transfusion of more than 1000ml in perioperative period were susceptible to the ESMI or ischemic changes, and revealed these changes in 45.5% in the gastric cancer and in 71.4% in the gastric ulcer. The elevation of hematocrit after surgery was correlated with the severity of electrocardiographic changes. In the gastric cancer hematocrit elevated by 15.7 in ESMI, by 10.5 in marked ischemic changes and by 8.4 in slight ischemic changes. In the gastric ulcer the increases in hematocrit were by 9.0, 13.5, and 5.3 respectively. The post operative hematocrit was slightly higher in ESMI, but the hematocrits in the remaining four groups were at the same levels. GOT changes were within normal ranges, and LDH increased slightly in each group.<br>The duration of the operation was similar in each electrocardiographic changes, but the emergency operation was frequently observed in the groups of ESMI and marked ischemic changes. Eighteen cases of gastric cancer and 7 cases of gastric ulcer died during the follow up period. These cases were frequently observed in groups of ESMI and marked ischemic changes. However, no significantly correlation was found between the electrocardiographic changes and coronary stenotic index.<br>The proposed mechanisms responsible for the electrocardiographic changes were rapidly increased hematocrit and blood viscosity in poor risk patients, which might disturb the coronary microcirculation."},{"@value":"老年者胃癌59例, 胃潰瘍19例について胃切除術前後の心電図変化と輸血量との関係を検討した. 胃癌では術後心電図で心筋梗塞様心電図8.5%, 高度虚血性変化10.2%, 軽度虚血性変化8.5%, 非特異的ST, T変化18.6%, 不変54.2%であり, 胃潰瘍ではそれぞれ5.3%, 21.0%, 15.8%, 15.8%, 42.1%に見られ, 両疾患群に差を認めなかった.<br>手術時輸血量が1,000m<i>l</i>以上のものに梗塞様または虚血性心電図変化が多く, 胃癌では大量輸血例の45.5%, 胃潰瘍では71.4%に梗塞様または虚血性変化を認めた. 手術後のヘマトクリット上昇度は心電図変化の著明な群に高く, 胃癌では梗塞様変化群15.7, 高度虚血群10.5, 軽度虚血群8.4の上昇を示し, 胃潰瘍ではそれぞれ9.0, 13.5, 5.3の上昇を示した. GOTは各群とも正常範囲の変動であり, LDHは軽度上昇を示した.<br>手術時間は各群間に差を認めず心電図変化との関係は認められないが, 梗塞様及び虚血性変化群には救急手術が多く認められた.<br>術後経過観察中死亡した症例は胃癌18例, 胃潰瘍7例であり, 梗塞様変化, 高度虚血群に予後不良のものが多い. しかし手術前後の心電図変化と冠動脈狭窄指数の間には相関は認められなかった.<br>心電図変化の機序として冠硬化は考え難く, poor risk の患者に大量の輸血によりヘマトクリット及び血液粘度の急上昇を来たし冠微少循環における血流障害を惹起したものと考えた."}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410009222388306433","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000253513491"}],"foaf:name":[{"@language":"en","@value":"Kuramoto Kizuku"},{"@language":"ja","@value":"蔵本 築"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Internal Medicine, Metropolitan Geriatric Hospital"},{"@language":"ja","@value":"東京都養育院付属病院内科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410009222388306436","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000253513492"}],"foaf:name":[{"@language":"en","@value":"Kanazawa Kyotaro"},{"@language":"ja","@value":"金沢 暁太郎"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Surgery, Metropolitan Geriatric Hospital"},{"@language":"ja","@value":"東京都養育院付属病院外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410009222388306434","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000253513493"}],"foaf:name":[{"@language":"en","@value":"Matsushita Satoru"},{"@language":"ja","@value":"松下 哲"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Internal Medicine, Metropolitan Geriatric Hospital"},{"@language":"ja","@value":"東京都養育院付属病院内科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410009222388306435","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000253513494"}],"foaf:name":[{"@language":"en","@value":"Murakami Mototaka"},{"@language":"ja","@value":"村上 元孝"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"東京都養育院付属病院内科"},{"@language":"en","@value":"Department of Internal Medicine, Metropolitan Geriatric Hospital"}]},{"@id":"https://cir.nii.ac.jp/crid/1410009222388306432","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000253513495"}],"foaf:name":[{"@language":"en","@value":"Kuwako Kenji"},{"@language":"ja","@value":"桑子 賢司"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Internal Medicine, Metropolitan Geriatric Hospital"},{"@language":"ja","@value":"東京都養育院付属病院内科"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"03009173"},{"@type":"NDL_BIB_ID","@value":"000000019022"},{"@type":"ISSN","@value":"03009173"},{"@type":"LISSN","@value":"03009173"},{"@type":"NCID","@value":"AN00199010"}],"prism:publicationName":[{"@language":"en","@value":"Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics"},{"@language":"ja","@value":"日本老年医学会雑誌"},{"@language":"en","@value":"Nippon Ronen Igakkai Zasshi"},{"@language":"en","@value":"Nihon Ronen Igakkai Zasshi"},{"@language":"en","@value":"Jpn J Geriat"},{"@language":"ja","@value":"日老医誌"},{"@language":"en","@value":"Jpn. j. geriat"}],"dc:publisher":[{"@language":"en","@value":"The Japan Geriatrics Society"},{"@language":"ja","@value":"一般社団法人 日本老年医学会"}],"prism:publicationDate":"1977","prism:volume":"14","prism:number":"4","prism:startingPage":"245","prism:endingPage":"252"},"reviewed":"false","url":[{"@id":"http://id.ndl.go.jp/bib/1836799"},{"@id":"https://ndlsearch.ndl.go.jp/books/R000000004-I1836799"},{"@id":"https://search.jamas.or.jp/link/ui/1978113287"}],"availableAt":"1977","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=Geriatrics%20and%20Gerontology","dc:title":"Geriatrics and Gerontology"}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:0034757528"},{"@type":"NDL_SEARCH","@value":"oai:ndlsearch.ndl.go.jp:R000000004-I1836799"},{"@type":"CROSSREF","@value":"10.3143/geriatrics.14.245"},{"@type":"PUBMED","@value":"904094"},{"@type":"CIA","@value":"130003651215"}]}