上肢浮腫に対する経リザーバー在宅グリセリン動注療法の1例 CONTINUAL GLYCEROL INJECTION THERAPY FOR EDEMA IN AN EXTREMITY

この論文にアクセスする

この論文をさがす

著者

抄録

右卵巣癌摘除後に発生した,左頸部転移および放射線照射後の上肢浮腫に対して,左胸肩峰動脈から鎖骨下動脈に向けて動脈注入用カテーテルを挿入し皮下リザーバーを留置,週1回4時間かけてグリセオール200mlを55回持続動脈注入したところ,左上肢は軟化し周径の縮小をみとめた.<br> ハドマー,マイクロ波照射にても軽快しない難治性上腕浮腫に対して,在宅グリセリン動脈注入療法は有用であった.

We present here an interesting case involving a treatment for edema in the left upper extremity of a 68-year-old woman. The patient complained of edema, stiffness, and pain in her left arm, and her left extremity was remarkably swollen. A radioimmunoveinal angiogram revealed the occlusion of the left subclavian vein. A computed tomogram showed the oppression of the left subclavian vein by metastatic right ovarian cancer.<br> A catheter was inserted in a root of the left thoracoacrominal artery; the port was subcutaneously inserted in the left anterior chest wall. Glyceol (200ml; including glycerol 20g and fructose 10g) was injected 55 times.<br> An area of swelling in her forearm 9-cm in circumference, decreased, and the patient recoved from her complaint.<br> The management of edema in extremies is usually quite difficult. Continual glycerol infusion via an undermined port and catheter is less invasive and a useful method of improving the patient's quality of life.

収録刊行物

  • 日本臨床外科学会雑誌 = The journal of the Japan Surgical Association

    日本臨床外科学会雑誌 = The journal of the Japan Surgical Association 62(12), 3073-3076, 2001-12-25

    Japan Surgical Association

参考文献:  13件中 1-13件 を表示

各種コード

  • NII論文ID(NAID)
    10008392517
  • NII書誌ID(NCID)
    AA11189709
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    13452843
  • データ提供元
    CJP書誌  J-STAGE 
ページトップへ