体外循環における２～３の工夫

• 橘 史朗

  神戸大学医学部第二外科

• 松田 昌三

  神戸大学医学部第二外科

• 沢村 敏郎

  神戸大学医学部第二外科

• 楠本 長正

  神戸大学医学部第二外科

• 司尾 和紀

  神戸大学医学部第二外科

• 岡田 昌義

  神戸大学医学部第二外科

• 中村 和夫

  神戸大学医学部第二外科

• 吉岡 薫

  神戸大学医学部中央手術部

書誌事項

タイトル別名

• Several trials to improve technique of cardiopulmonary bypass.

抄録

To improve the safety of cardiopulmonary bypass, the following several trials were made in this institution. (1) For the purpose to prevent the platelet aggregation during cardiopulmonary bypass, gabexate-mesilate was given, but indefinite conclusion was drawn from the change of platelet count and β-thromboglogulin value. (2) In order to improve the glucose metabolism avoiding excessive hyperglycemia in diabetic patients, concentration of glucose in GIk solution was decreased from 2:1:4 to 1:1:4 This modified GIK solution was very effective to maintain the adequate level of blood glucose, preventing abnormal increase in free fatty acid. (3) In order to decrease the hemolysis during cardiopulmonary bypass, single RA-IVC cannula was preffed in case of AVR and AC bypass. This cannula wass superior to separate SVC and IVC cannulation to secure venous return to heart-lung machine, and no need to open the right atrium, resulting to reduce hemolysis. (4) ECUM was often used to maintain water balance during cardiopulmonary bypass and to remove excessive water from the primed blood after completion of the bypass. Use of ECUM was effective to elevate hematocrit value and resulted in saving the blood of 5 units in average.

収録刊行物

• 人工臓器

  人工臓器 14 (3), 1661-1667, 1985

  一般社団法人 日本人工臓器学会

キーワード

• Gabexate mesilate
• GIK (1:1:4)
• single RA-IVC cannula
• ECUM

詳細情報

• CRID: 1390001204959889280
• NII論文ID: 130001736091
• DOI: 10.11392/jsao1972.14.1661
• ISSN: 18836097
• ISSN: 03000818
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可