書誌事項
- タイトル別名
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- Eventration of diaphragm after pediatric living-related liver transplantation.
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An 11-month-old boy with congenital biliary atresia, extreme malnutrition, massive ascites, chest wall deformity, and hypoxemia underwent liver transplantation from a living-related donor. The suprahepatic vena cava was clamped at the level of the vena caval foramen of the diaphragm because the hepatic portion of vana cava was sclerotic and obliterated up to the junction of the hepatic veins. Although he was extubated on the following day and his early postoperative course was uneventful, he showed progressive dyspnea 2 weeks after transplantation. Chest X-ray 4 weeks after operation revealed markedly elevated right hemidiaphragm and mediastinal shift to the left. On the 35th postoperative day, he suddenly manifested critical hypoventilation. Although he was intubated and given ventilatory assist with positive end-expiratory pressure, elevation of the right hemidiaphragm and the mediastinal shift did not return to normal. He underwent plication of the right hemidiaphragm 38 days after liver transplantation. Immediately after plication, elevation of the right hemidiaphragm and the mediastinal shift were completely restored and his respiratory function was dramatically improved. He was successfully extubated 3 days after plication and discharged.
収録刊行物
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- 日本呼吸器外科学会雑誌
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日本呼吸器外科学会雑誌 9 (6), 708-711, 1995
特定非営利活動法人 日本呼吸器外科学会
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詳細情報 詳細情報について
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- CRID
- 1390001204361432064
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- NII論文ID
- 10007715021
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- NII書誌ID
- AN10467885
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- ISSN
- 18814158
- 09190945
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可
