新生児外科的疾患におけるM index chart の検討

抄録

A tracking chart for the evaluation of therapeutic effectiveness and over-all condition in critically ill infants has been designed on the basis of clinical investigation of infants with respiratory distress. The applicability and usefulness of the chart, which is composed of Modified Respiratory Index (M index) and arterial pH (pHa), have been confirmed in the study of 10 infants with Bochdalek hernia and 11 infants with gastric rupture. The effectiveness of surgical treatment for both groups is shown as a distinctive contrast on the chart (Figure 1 and 2). The difference is considered to be related to the pathological bases for each disease. More than 80% of trials for weaning from ventilatory supports were successful when the weaning is carried out within the "weaning zone" of the chart (Figure 3). When the infants are clinically diagnosed as being in shock, all most of their data are located within the "extremely severe condition area" (Figure 3). It is concluded that this chart may be helpful in evaluating the therapeutic effectiveness as well as in predicting of the perioperative course of these surgical infants.