循環制御
Print ISSN : 0389-1844
26 巻 , 2 号
選択された号の論文の4件中1~4を表示しています
原著
症例
  • 小澤 章子, 兵頭 亜希子, 中野 貴明, 岡本 浩嗣, 外 須美夫, 丸山 宏, 野見山 延
    2005 年 26 巻 2 号 p. 152-155
    発行日: 2005年
    公開日: 2006/07/07
    ジャーナル フリー
    A 76-year-old man with a permanent pacemaker was scheduled for transurethral lithotripsy. He had a past history of drug allergy, which we were not informed preoperatively. About 40min after spinal anesthesia, he suddenly developed hypotension which did not respond to intravenous fluids and ephedrine. Subsequently, he became cardiopulmonary arrest and ventricular fibrillation. He was successfully resuscitated without any neurological sequelae. Erythema appeared on the lower abdomen, suggesting the occurrence of anaphylactic shock. The cause of anaphylactic shock was considered to be a disinfectant, chlorhexidine gluconate, or an additive agent, methylparaben.
  • 本多 泰子, 金澤 雅, 笹野 淳, 日野 博文, 舘田 武志
    2005 年 26 巻 2 号 p. 156-158
    発行日: 2005年
    公開日: 2006/07/07
    ジャーナル フリー
    A 77-year-old man was scheduled for aortic valve replacement to treat his aortic stenosis. After induction of anesthesia with fentanyl and propofol, tracheal intubation was facilitated with vecuronium. A pulmonary artery catheter(PAC) was inserted via the right internal jugular vein without difficulty. The tip of the PAC was seen in the left pulmonary artery on a postoperative chest radiograph. The patient was separated from cardiopulmonary bypass(CPB). During protamine infusion, acute pulmonary hemorrhage occurred through the tracheal tube. Fiberoptic bronchoscopy revealed the right upper bronchus to be the source of bleeding. By this time, 500ml of blood had been lost through the endotrachel tube. The bleeding stopped within 30 minutes without any treatment. We administered aprotinin and antithrombin III to normalize blood clotting. No further bronchial bleeding occurred. We could not identify the cause of hemorrhage, although bronchiectasis, tracheal injury by tracheal intubation, PAC-related perforation of the pulmonary artery, perforation of pulmonary vein by ventricular vent catheter, or a metastatic pulmonary tumor from colon cancer were all considered.
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