-
[in Japanese], [in Japanese]
1994 Volume 14 Issue 7 Pages
537-541
Published: September 15, 1994
Released on J-STAGE: December 11, 2008
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese]
1994 Volume 14 Issue 7 Pages
542-545
Published: September 15, 1994
Released on J-STAGE: December 11, 2008
JOURNAL
FREE ACCESS
-
[in Japanese]
1994 Volume 14 Issue 7 Pages
546-548
Published: September 15, 1994
Released on J-STAGE: December 11, 2008
JOURNAL
FREE ACCESS
-
[in Japanese]
1994 Volume 14 Issue 7 Pages
549-552
Published: September 15, 1994
Released on J-STAGE: December 11, 2008
JOURNAL
FREE ACCESS
-
[in Japanese]
1994 Volume 14 Issue 7 Pages
553-556
Published: September 15, 1994
Released on J-STAGE: December 11, 2008
JOURNAL
FREE ACCESS
-
[in Japanese]
1994 Volume 14 Issue 7 Pages
557-560
Published: September 15, 1994
Released on J-STAGE: December 11, 2008
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese], [in Japanese]
1994 Volume 14 Issue 7 Pages
561-564
Published: September 15, 1994
Released on J-STAGE: December 11, 2008
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese], [in Japanese]
1994 Volume 14 Issue 7 Pages
565-568
Published: September 15, 1994
Released on J-STAGE: December 11, 2008
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese]
1994 Volume 14 Issue 7 Pages
569-571
Published: September 15, 1994
Released on J-STAGE: December 11, 2008
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
1994 Volume 14 Issue 7 Pages
572-575
Published: September 15, 1994
Released on J-STAGE: December 11, 2008
JOURNAL
FREE ACCESS
-
[in Japanese]
1994 Volume 14 Issue 7 Pages
576-579
Published: September 15, 1994
Released on J-STAGE: December 11, 2008
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese]
1994 Volume 14 Issue 7 Pages
580-582
Published: September 15, 1994
Released on J-STAGE: December 11, 2008
JOURNAL
FREE ACCESS
-
[in Japanese]
1994 Volume 14 Issue 7 Pages
583-585
Published: September 15, 1994
Released on J-STAGE: December 11, 2008
JOURNAL
FREE ACCESS
-
[in Japanese]
1994 Volume 14 Issue 7 Pages
586-588
Published: September 15, 1994
Released on J-STAGE: December 11, 2008
JOURNAL
FREE ACCESS
-
[in Japanese]
1994 Volume 14 Issue 7 Pages
589-591
Published: September 15, 1994
Released on J-STAGE: December 11, 2008
JOURNAL
FREE ACCESS
-
[in Japanese]
1994 Volume 14 Issue 7 Pages
592-594
Published: September 15, 1994
Released on J-STAGE: December 11, 2008
JOURNAL
FREE ACCESS
-
[in Japanese]
1994 Volume 14 Issue 7 Pages
595-597
Published: September 15, 1994
Released on J-STAGE: December 11, 2008
JOURNAL
FREE ACCESS
-
[in Japanese]
1994 Volume 14 Issue 7 Pages
598-600
Published: September 15, 1994
Released on J-STAGE: December 11, 2008
JOURNAL
FREE ACCESS
-
[in Japanese]
1994 Volume 14 Issue 7 Pages
601-603
Published: September 15, 1994
Released on J-STAGE: December 11, 2008
JOURNAL
FREE ACCESS
-
[in Japanese]
1994 Volume 14 Issue 7 Pages
604-607
Published: September 15, 1994
Released on J-STAGE: December 11, 2008
JOURNAL
FREE ACCESS
-
Mikiko YAMAKAWA, Yukie SATO, Seiji TAKAOKA, Sumio AMAGASA, Akira KATO
1994 Volume 14 Issue 7 Pages
608-611
Published: September 15, 1994
Released on J-STAGE: December 11, 2008
JOURNAL
FREE ACCESS
A 61-year-old male patient with renal cell carcinoma underwent right nephrectomy and removal of tumor mass invading into the right atrium under cardiopulmonary bypass. Immediately after the end of the operation, sudden circulatory collapse developed without arterial hypoxemia. Pulmonary angiography showed a massive pulmonary embolism. The tumor embolism was removed from the right pulmonary artery under CPB. The patient did not recover consciousness, and died 77 days after the operation.
During surgical excision of invasive tumors in large veins, we recommed standby CPB for removal of tumor embolus and that transesophagial echocardiography or angiography be conducted to quickly diagnose remaining tumor emboli.
View full abstract
-
Tomomasa KIMURA, Norio MIKE, Toru KOMATSU, Ryuji ISHIZUKA, Motoko ITO, ...
1994 Volume 14 Issue 7 Pages
612-616
Published: September 15, 1994
Released on J-STAGE: December 11, 2008
JOURNAL
FREE ACCESS
Hepatic and renal function after repeated sevoflurane anesthesia (112 times) were studied in a 7-year-old, 23 kg female patient with congenital tracheal stenosis. Laser cauterization and balloon enlargement were repeatedly performed. Mean anesthesia time was 118±61 (mean±SD) minutes. Mean inspiratory vol%•hour of sebof lurane was 1.69±1.58 vol%•hour and the sum of inspiratory vol%•hour of sevoflurane was 188.8 vol%•hour. Hepatic and renal function were evaluated by measuring GOT, GPT, γ-GTP, total bilirubin, urea nitrogen and creatinine once a month. Serum concentration of inorganic fluoride was measured after the 18th and 20th anesthesia. These concentrations were less than 50μmol/l, which regarded as the nephrotoxic level. Drug lymphocyte stimulation test to detect sevoflurane-induced hepatotoxicity mediated by hypersensitivity was done after the 73rd anesthesia. The result of this test was negative. In conclusion, hepatic and renal function laboratory data were within the normal range throughout 112 repetitions of sevoflurane anesthesia except for the data obtained after Laser-induced airway burn during the 54th anesthesia.
View full abstract
-
Akio KONISHI, Keiko KIKUCHI, Hirozumi ASAHARA
1994 Volume 14 Issue 7 Pages
617-623
Published: September 15, 1994
Released on J-STAGE: December 11, 2008
JOURNAL
FREE ACCESS
We investigated the clinical features, problems of perioperative management and prognosis in 11 surgical cases with lung cancer with IIP. Their average age was 68.7 years and 9 of them were male, including 8 with advanced lung cancer, 6 with severe IIP with the honey-comb pattern in chest X-ray and 5 who had received aggressive operation. Six patients died due to respiratory failure and all had acute exacerbation of IIP.
Taking account of oxygen toxicity for IIP, we kept PaO
2 at less than 200mmHg during and after surgery, but the respiratory complications postoperatively were the major factors in the exacerbation of IIP.
The decision to operate for lung cancer complicated with IIP is difficult to make, and considering the poor prognosis of TIP and advanced cancer, the extension of surgery should be limited within the minimum risk and special consideration should be given to avoiding postoperative respiratory complications.
View full abstract