原発性肺高血圧症患児の心臓カテーテル検査中に心肺蘇生を必要として一症例

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タイトル別名
  • Cardiopulmonary Resuscitation during Cardiac Catheterization in a Patient with Pulmonary Hypertension

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An eight year old boy had been cared with home oxygen therapy (HOT) and administered PGI2 due to primary pulmonary hypertension, underwent cardiac catheterization to evaluate his cardiac performance.<BR>The injection of contrast medium into the left atrium induced severe bradycardia and hypotension abruptly, and then necessitated cardiopulmonary resuscitation. Although he temporarily recovered, the transnasal intubation resulted in severe bradycardia and hypoxemia again. Cardiopulmonary resuscitation was re-started, however inhalation of nitric oxide could gradually ameliorate him and he was transferred to the ICU. He was eventually discharged from the hospital on the 17th day without any sequelae. We recognized this event during cardiac catheterization was consequent upon pulmonary hypertensive crisis, because he had been suffered from severe pulmonary hypertension and the inhalation of nitric oxide was effective.

収録刊行物

  • 蘇生

    蘇生 27 (1), 60-62, 2008

    日本蘇生学会

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