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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12001/3174

Title :[原著]開腹手術術後における血行動態の検討
Title alternative :Postoperative Hemodynamic Changes in Abdominal Surgery
Authors :知花, 朝美
草場, 昭
喜名, 盛夫
大嶺, 靖
城間, 寛
金城, 治
新屋, 瑛一
大田, 守雄
宮城, 和史
鎌田, 義彦
赤崎, 満
伊波, 潔
国吉, 幸男
古謝, 景春
屋良, 勲
Authors alternative :Chibana,Tomomi
Kusaba, Akira
Kina, Morio
Ohmine, Yasushi
Shiroma, Hirosi
Kinjyou, Osamu
Shinya, Eiiti
Ohta, Morio
Miyagi, Kazufumi
Kamata, Yosihiko
Akasaki, Mituru
Iha, Kiyoshi
Kuniyoshi, Yukio
Koja, Kageharu
Yara, Isao
Authors affiliation :琉球大学医学部第二外科
Issue Date :1991
Publisher :琉球医学会
Type Local :雑誌掲載論文
Type (NII) :Journal Article
ISSN :1346888X
Abstract :Preoperative and postoperative hemodynamic changes in 29 patients underwent general abdominal surgeries, including cholecystectomy, gastrectomy, colectomy or vascular reconstruction were studied using a Swan-Ganz catheter to clarify characteristic hemodynamic changes in the postoperative cardiopulmonary events at an early stage. As hemodynamic parameters, pulmonary arterial pressure(PAP), pulmonary arterial wdge pressure (PAWP), right arterial pressure(RAP), cardiac output(CO), cardiac index (CI), pulmonary arterial resistance(PAR), total peripheral arterial resistance(TPR), left ventricular stroke work index(LVSWI), right ventricural stroke work index(RVSWI), left ventricular minute work index(LW) , right ventricular minute work index(RW) were measured and calculated. The patients with uneventful postoperative course were in a moderate hyperdynamic statewith a significant increase in CI, LW, RW.LVSWI and moderate decrease in TPR 2 to 4 hours afterthe surgeries, reverting to the preoperative state in the following 3 days. While, the patients with postoperative cardiopulmonare events, i.e. pulmonary atelectasis and/or pleural effusion showed low response of the left ventricular work (no increase in LVSWI) to increased PAP and PAWP at 2 to 4 hours or excessive hyperdynamic state with rapid and excessive increase in CI, LW, RW,LVSWI,RVSWI, with high TPR at 2 to 3 days.
Rights :琉球医学会
URI :http://hdl.handle.net/20.500.12001/3174
Citation :琉球医学会誌 = Ryukyu Medical Journal Vol.12 no.1 p.1 -7
Appears in Collections:Ryukyu Medical Journal

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