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  [in Japanese] CONTINUAL GLYCEROL INJECTION THERAPY FOR EDEMA IN AN EXTREMITY  [in Japanese]

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Abstract

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.

Journal

  • Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)

    Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 62(12), 3073-3076, 2001-12-25

    Japan Surgical Association

References:  13

Codes

  • NII Article ID (NAID)
    10008392517
  • NII NACSIS-CAT ID (NCID)
    AA11189709
  • Text Lang
    JPN
  • Article Type
    NOT
  • ISSN
    13452843
  • Data Source
    CJP  J-STAGE 
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