整形外科と災害外科
Online ISSN : 1349-4333
Print ISSN : 0037-1033
ISSN-L : 0037-1033
頸髄損傷患者の起立性低血圧時における心肺機能の考察
長谷川 和治林 茂赤崎 幸二森本 敬三浅山 滉
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1978 年 27 巻 1 号 p. 52-55

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Investigations were made on the admitted patients with complete quadriplegics while patients were on supine and on elevated position with and without applying abdominal bandage respectively.
Clinical data including blood pressure, puls rate, respiratory rate, blood gass analysis were examined on each condition.
The data showed tachycardia, hyperventilation, marked hypotension, increased PO2 and decreased PCO2 on the patients standing without abdominal bandage as compared with patients on lying position. The data of patients applying abdominal bandage were in between them.
The results suggest there may be some regulation to enhance more efficient gaseous exchange other than decreasing vascular resistance to maintain circulatory volume in the brain of these patients who can remain in consciousness during marked hypotension.

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