下顎骨骨折の観血的整復固定術中に冠スパズムを認めた高齢痴呆患者の1例 A case of coronary arterial spasm occurring during open reduction of a mandibular fracture in an elderly patient with dementia

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著者

    • 新田 哲也 NITTA Tetsuya
    • 鹿児島大学大学院医歯学総合研究科顎顔面機能再建学講座顎顔面疾患制御学分野 Division of Maxillofacial Diagnostic and Surgical Science, Department of Oral and Maxillofacial Rehabilitation, Kagoshima University Graduate School of Medical and Dental Sciences
    • 上川 善昭 KAMIKAWA Yoshiaki
    • 鹿児島大学大学院医歯学総合研究科顎顔面機能再建学講座顎顔面疾患制御学分野 Division of Maxillofacial Diagnostic and Surgical Science, Department of Oral and Maxillofacial Rehabilitation, Kagoshima University Graduate School of Medical and Dental Sciences
    • 坂元 亮一 SAKAMOTO Ryoichi
    • 鹿児島大学大学院医歯学総合研究科顎顔面機能再建学講座顎顔面疾患制御学分野 Division of Maxillofacial Diagnostic and Surgical Science, Department of Oral and Maxillofacial Rehabilitation, Kagoshima University Graduate School of Medical and Dental Sciences
    • 別府 真広 BEPPU Mahiro
    • 鹿児島大学大学院医歯学総合研究科顎顔面機能再建学講座顎顔面疾患制御学分野 Division of Maxillofacial Diagnostic and Surgical Science, Department of Oral and Maxillofacial Rehabilitation, Kagoshima University Graduate School of Medical and Dental Sciences
    • 川島 清美 KAWASHIMA Kiyomi
    • 鹿児島大学大学院医歯学総合研究科顎顔面機能再建学講座顎顔面疾患制御学分野 Division of Maxillofacial Diagnostic and Surgical Science, Department of Oral and Maxillofacial Rehabilitation, Kagoshima University Graduate School of Medical and Dental Sciences
    • 杉原 一正 SUGIHARA Kazumasa
    • 鹿児島大学大学院医歯学総合研究科顎顔面機能再建学講座顎顔面疾患制御学分野 Division of Maxillofacial Diagnostic and Surgical Science, Department of Oral and Maxillofacial Rehabilitation, Kagoshima University Graduate School of Medical and Dental Sciences

抄録

Improved treatment of elderly inpatients requires evaluation of their systemic status. We performed open reduction of a mandibular fracture under general anesthesia in a patient who had various underlying diseases, such as hypertension, emphysema, cerebral infarction, diabetes mellitus, and dementia.<BR>The patient had presented with dementia before hospitalization. To ensure safety, we paid attention to falling, which had caused the mandibular fracture. However, coronary arterial spasm unexpectedly occurred during operation under general anesthesia. After the planned operation, we prevented the onset of spastic angina, and the patient was discharged without any complications. It is essential to carefully confirm systemic status, including emerging symptoms and disease, to ensure safe perioperative management in elderly patients with many underlying diseases such as hypertension, cerebral infarction, and dementia.

収録刊行物

  • 日本口腔外科学会雑誌  

    日本口腔外科学会雑誌 50(3), 185-188, 2004-03-20 

    Japanese Society of Oral and Maxillofacial Surgeons

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各種コード

  • NII論文ID(NAID)
    10018620397
  • NII書誌ID(NCID)
    AN00189163
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    00215163
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
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