首页 > 最新文献

[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai最新文献

英文 中文
[Cardiac surgery in patients with chronic renal failure on maintenance dialysis]. 慢性肾功能衰竭患者维持性透析的心脏外科治疗
Y Nakayama, R Sakata, K Ueyama, M Ura, K Kamohara, K Mabuni, Y Arai

From July 1988 through August 1996, 54 patients with chronic renal failure (CRF) on maintenance dialysis (50 hemodialysis = HD, and 4 continuous ambulatory peritoneal dialysis) have undergone some sort of surgical procedure requiring the use of extra corporeal circulation (ECC); 42 patients underwent isolated coronary artery bypass grafting (CABG), 8 valve replacement, 3 combined procedures and 1 correction of a congenital heart defect. The protocol called for maintenance dialysis on the day before surgery, large volume hemofiltration (HF) during the ECC period, postoperative K+ management with dextrose-insulin if required, and resumption of whatever preoperative maintenance dialysis 24 hours after the operative procedure. The mean diafiltrate volume of HF was 7963 +/- 2688 ml which was replaced with 6342 +/- 2748 ml. No patient required emergency HD before the resumption of the maintenance dialysis, although in 40% of the early patients HD was added on the second postoperative day. However as experience was gained, in the latter 60% of patients resumption of maintenance dialysis (HD 3 times a week) was thought to be sufficient. The incidence of calcification in patients with CRF is higher not only of involved coronary artery segments (4.5 +/- 2.3 segments; AHA coronary classification) than its counterpart without CRF, but also of the ascending aorta which mandated modifications of the technique in 6 patients (operation under ventricular fibrillation, cannulation access other than ascending aorta). The use of arterial in situ conduits for CABG was also thought to be advantageous, and the left internal thoracic artery combined to the gastro-epiploic artery was used in 11 patients (26.2%). Four patients died) (7.4%): 2 from arrhythmia, one from intestinal necrosis and one from multiple cerebral infarction. Thus we conclude that the outlined protocol is quite effective in controlling fluid and electrolyte balance in patients on maintenance dialysis allowing to undertake surgical procedures requiring the use of extra corporeal circulation relatively safely.

从1988年7月到1996年8月,54例进行维持性透析的慢性肾衰竭(CRF)患者(50例血液透析= HD, 4例连续动态腹膜透析)接受了需要使用体外循环(ECC)的某种外科手术;42例患者接受了孤立冠状动脉旁路移植术(CABG), 8例瓣膜置换术,3例联合手术和1例先天性心脏缺陷矫正。方案要求术前1天进行维持性透析,ECC期间进行大容量血液滤过(HF),术后必要时使用葡萄糖-胰岛素进行K+管理,术后24小时恢复任何术前维持性透析。HF的平均渗滤容量为7963 +/- 2688 ml,由6342 +/- 2748 ml代替。在恢复维护性透析之前,没有患者需要紧急HD,尽管40%的早期患者在术后第二天增加了HD。然而,随着经验的积累,后60%的患者恢复维持性透析(每周3次)被认为是足够的。CRF患者钙化的发生率不仅在受累的冠状动脉节段(4.5 +/- 2.3节段;AHA冠状动脉分类)比没有CRF的同行更准确,但也比升主动脉更准确,这要求对6例患者的技术进行修改(心室颤动下手术,非升主动脉插管)。使用原位动脉导管进行冠脉搭桥也被认为是有利的,11例(26.2%)患者使用左胸内动脉联合胃-网膜动脉。死亡4例(7.4%):心律失常2例,肠道坏死1例,多发性脑梗死1例。因此,我们得出结论,概述的方案在控制维持透析患者的液体和电解质平衡方面非常有效,允许进行需要相对安全地使用体外循环的外科手术。
{"title":"[Cardiac surgery in patients with chronic renal failure on maintenance dialysis].","authors":"Y Nakayama,&nbsp;R Sakata,&nbsp;K Ueyama,&nbsp;M Ura,&nbsp;K Kamohara,&nbsp;K Mabuni,&nbsp;Y Arai","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>From July 1988 through August 1996, 54 patients with chronic renal failure (CRF) on maintenance dialysis (50 hemodialysis = HD, and 4 continuous ambulatory peritoneal dialysis) have undergone some sort of surgical procedure requiring the use of extra corporeal circulation (ECC); 42 patients underwent isolated coronary artery bypass grafting (CABG), 8 valve replacement, 3 combined procedures and 1 correction of a congenital heart defect. The protocol called for maintenance dialysis on the day before surgery, large volume hemofiltration (HF) during the ECC period, postoperative K+ management with dextrose-insulin if required, and resumption of whatever preoperative maintenance dialysis 24 hours after the operative procedure. The mean diafiltrate volume of HF was 7963 +/- 2688 ml which was replaced with 6342 +/- 2748 ml. No patient required emergency HD before the resumption of the maintenance dialysis, although in 40% of the early patients HD was added on the second postoperative day. However as experience was gained, in the latter 60% of patients resumption of maintenance dialysis (HD 3 times a week) was thought to be sufficient. The incidence of calcification in patients with CRF is higher not only of involved coronary artery segments (4.5 +/- 2.3 segments; AHA coronary classification) than its counterpart without CRF, but also of the ascending aorta which mandated modifications of the technique in 6 patients (operation under ventricular fibrillation, cannulation access other than ascending aorta). The use of arterial in situ conduits for CABG was also thought to be advantageous, and the left internal thoracic artery combined to the gastro-epiploic artery was used in 11 patients (26.2%). Four patients died) (7.4%): 2 from arrhythmia, one from intestinal necrosis and one from multiple cerebral infarction. Thus we conclude that the outlined protocol is quite effective in controlling fluid and electrolyte balance in patients on maintenance dialysis allowing to undertake surgical procedures requiring the use of extra corporeal circulation relatively safely.</p>","PeriodicalId":6434,"journal":{"name":"[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai","volume":"45 10","pages":"1661-6"},"PeriodicalIF":0.0,"publicationDate":"1997-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20323180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Primary pulmonary malignant lymphoma of mucosa-associated lymphoid tissue (MALT)--a case report with a review of Japanese literatures]. 【原发性肺粘膜相关淋巴组织恶性淋巴瘤(MALT)一例报道并复习日本文献】。
M Kamiyoshihara, T Hirai, O Kawashima, Y Morishita

A case of non-Hodgkin malignant lymphoma of the lung was presented with a review of Japanese literatures. A 53-year-old woman was referred to our hospital because of an abnormal shadow on the roentgenogram of mass screening, with neither subjective symptoms nor abnormalities in physical examinations. Laboratory tests showed normal values. The diagnosis of pulmonary malignant lymphoma was obtained by immunohistochemical examinations. She underwent a upper lobectomy of the left lung with lymph nodes dissection of the mediastinum. The histological immunohistochemical and diagnosis of the resected tumor was primary pulmonary B-cell lymphoma of mucosa-associated lymphoid tissue (MALT) without regional lymph nodes involvement. She has been doing well without any signs of recurrence for 15 months after the operation.

本文报告1例非霍奇金肺恶性淋巴瘤,并复习日本文献。一名53岁女性,因肿块筛查x线片影异常转介至我院,无主观症状,体检无异常。化验结果正常通过免疫组化检查诊断肺恶性淋巴瘤。她接受了左肺上肺叶切除术和纵隔淋巴结清扫术。经组织免疫组化和诊断,切除的肿瘤为粘膜相关淋巴组织(MALT)原发性肺b细胞淋巴瘤,未累及区域淋巴结。术后15个月,患者恢复良好,无复发迹象。
{"title":"[Primary pulmonary malignant lymphoma of mucosa-associated lymphoid tissue (MALT)--a case report with a review of Japanese literatures].","authors":"M Kamiyoshihara,&nbsp;T Hirai,&nbsp;O Kawashima,&nbsp;Y Morishita","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A case of non-Hodgkin malignant lymphoma of the lung was presented with a review of Japanese literatures. A 53-year-old woman was referred to our hospital because of an abnormal shadow on the roentgenogram of mass screening, with neither subjective symptoms nor abnormalities in physical examinations. Laboratory tests showed normal values. The diagnosis of pulmonary malignant lymphoma was obtained by immunohistochemical examinations. She underwent a upper lobectomy of the left lung with lymph nodes dissection of the mediastinum. The histological immunohistochemical and diagnosis of the resected tumor was primary pulmonary B-cell lymphoma of mucosa-associated lymphoid tissue (MALT) without regional lymph nodes involvement. She has been doing well without any signs of recurrence for 15 months after the operation.</p>","PeriodicalId":6434,"journal":{"name":"[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai","volume":"45 9","pages":"1620-6"},"PeriodicalIF":0.0,"publicationDate":"1997-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20274062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[A case report of left postero-lateral thoracotomy for simultaneous CABG and left lower lobectomy]. 左侧后外侧开胸同时行CABG和左侧下肺叶切除术1例。
M Kanzaki, J Kei, H Kaneyasu, H Kawana, T Ohnuki, S Nitta

Surgical management of patients with concomitant resectable lung lesions and critical cardiac disease is controversial. We report a case of concomitant pulmonary and cardiac surgery via a left thoracotomy. A 67-year-old male was admitted to our hospital complaining of recurrent bloody sputum and an abnormal shadow on chest X-ray. Chest CT and MRI showed a tumor in the left lower lobe (S10), with invasion of the diaphragm. A diagnosis of squamous cell carcinoma was obtained by transbronchial lung biopsy. The patient had a history of angina pectoris, and stress testing was positive. Coronary angiography showed 90% stenosis at segment 5, suggesting a risk of perioperative or postoperative myocardial infarction. This necessitated simultaneous surgical treatment for lung cancer and ischemic heart disease. A lobectomy of the left lower lung was performed, followed by coronary artery bypass grafting (CABG), using the great saphenous vein. The postoperative course was uneventful except for the occurrence of cholecystitis. Lung cancer and ischemic heart disease can be safely treated simultaneously via a single incision, with and benefit for selected patients.

伴有可切除肺病变和危重心脏疾病的患者的外科治疗是有争议的。我们报告一例通过左开胸同时进行的肺和心脏手术。一名67岁男性,因反复咳痰带血及胸片影异常而入院。胸部CT和MRI显示左下叶(S10)肿瘤,侵犯膈。经支气管肺活检诊断为鳞状细胞癌。患者有心绞痛病史,压力测试呈阳性。冠状动脉造影显示第5节段狭窄90%,提示围手术期或术后心肌梗死风险。这就需要对肺癌和缺血性心脏病同时进行手术治疗。行左下肺肺叶切除术,然后采用大隐静脉行冠状动脉旁路移植术(CABG)。除发生胆囊炎外,术后一切顺利。肺癌和缺血性心脏病可以通过单个切口同时安全治疗,对选定的患者有好处。
{"title":"[A case report of left postero-lateral thoracotomy for simultaneous CABG and left lower lobectomy].","authors":"M Kanzaki,&nbsp;J Kei,&nbsp;H Kaneyasu,&nbsp;H Kawana,&nbsp;T Ohnuki,&nbsp;S Nitta","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Surgical management of patients with concomitant resectable lung lesions and critical cardiac disease is controversial. We report a case of concomitant pulmonary and cardiac surgery via a left thoracotomy. A 67-year-old male was admitted to our hospital complaining of recurrent bloody sputum and an abnormal shadow on chest X-ray. Chest CT and MRI showed a tumor in the left lower lobe (S10), with invasion of the diaphragm. A diagnosis of squamous cell carcinoma was obtained by transbronchial lung biopsy. The patient had a history of angina pectoris, and stress testing was positive. Coronary angiography showed 90% stenosis at segment 5, suggesting a risk of perioperative or postoperative myocardial infarction. This necessitated simultaneous surgical treatment for lung cancer and ischemic heart disease. A lobectomy of the left lower lung was performed, followed by coronary artery bypass grafting (CABG), using the great saphenous vein. The postoperative course was uneventful except for the occurrence of cholecystitis. Lung cancer and ischemic heart disease can be safely treated simultaneously via a single incision, with and benefit for selected patients.</p>","PeriodicalId":6434,"journal":{"name":"[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai","volume":"45 9","pages":"1633-7"},"PeriodicalIF":0.0,"publicationDate":"1997-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20274064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[A surgical case of aorto-pulmonary septal defect in a low weight neonate]. [一例低体重新生儿主动脉-肺动脉间隔缺损的手术治疗]。
K Fukahara, A Murakami, T Ueda, Y Doki, T Misaki

We report a surgical case of aorto-pulmonary septal defect (APSD) in a neonate weighing 1693 gm. A male twin baby delivered after 39 weeks and 5 days of gestational period was diagnosed as APSD. RAA, PFO and PLSVC by a echocardiography and a MRI. Because of the progressive cardiac failure, operation was performed under cardiopulmonary bypass and profound hypothermic circulatory arrest at 30 days of age and weighing 1693 gm. APSD was closed completely by a Dacron patch. Postoperative course was almost uneventful except for pulmonary hypertension crisis. He recovered without brain damage.

我们报告一例体重1693克的新生儿因主动脉-肺动脉间隔缺损(APSD)而手术治疗的病例。一名男婴在妊娠39周零5天出生后被诊断为APSD。超声心动图和核磁共振显示RAA, PFO和PLSVC。由于进行性心力衰竭,30日龄,体重1693 gm,在体外循环和深度低温停循环下进行手术。APSD用涤纶补片完全关闭。除肺动脉高压危象外,术后几乎平安无事。他恢复后没有脑损伤。
{"title":"[A surgical case of aorto-pulmonary septal defect in a low weight neonate].","authors":"K Fukahara,&nbsp;A Murakami,&nbsp;T Ueda,&nbsp;Y Doki,&nbsp;T Misaki","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We report a surgical case of aorto-pulmonary septal defect (APSD) in a neonate weighing 1693 gm. A male twin baby delivered after 39 weeks and 5 days of gestational period was diagnosed as APSD. RAA, PFO and PLSVC by a echocardiography and a MRI. Because of the progressive cardiac failure, operation was performed under cardiopulmonary bypass and profound hypothermic circulatory arrest at 30 days of age and weighing 1693 gm. APSD was closed completely by a Dacron patch. Postoperative course was almost uneventful except for pulmonary hypertension crisis. He recovered without brain damage.</p>","PeriodicalId":6434,"journal":{"name":"[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai","volume":"45 9","pages":"1576-80"},"PeriodicalIF":0.0,"publicationDate":"1997-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20274164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Size estimation method for patch used in reconstruction of LV cavity]. [用于LV腔体重建的补片尺寸估计方法]。
G Yaginuma, Y Okada, K Abe, Y Iijima, K Uesho, K Kaneko, M Otsutomo

The reconstruction of LV cavity is accomplished by suturing a patch to the viable myocardium to exclude the infarcted area from the high LV pressures. However, there is no clear guideline to estimate the size of patch used for LV reconstruction. We have designed a new method to determine the correct patch size, and applied it in 5 cases. The suture line of the patch is at the junction of contractile (functional) and infarcted portions of LV. The patch size is determined by the length of AB, termed "a", as the base, where "point A" represents the junction on the LV anterior wall side, and "point B" the junction of the LV posterior wall side, from RAO 30 degrees projection of the left ventriculogram obtained by cardiac catheterization. In LV aneurysm, we designed the patch in the range of a/2 < l < or = pi a/2, where patch length on RAO 30 degrees is considered "l". An effort was made to reconstruct to normalize LV volume and contour by designing the patch size to be a/2 < l < a, particularly when the contractile portion was enlarged by aneurysm. On the other hand, in post AMI VSD, LV contractile portion is not enlarged in early stage. Therefore, the patch was designed in the range of a < l < or = pi a/2 to maintain LV volume. Postoperative LV volume can be calculated prior to surgery, by using the lengths of the designed patch. Postoperative analysis indicated that the actual LV volume and contour were almost identical to our estimation. This method is very useful in planning the patch size for LV reconstruction.

左室腔的重建是通过在存活的心肌上缝合贴片来完成的,以排除高左室压力的梗死区域。然而,目前尚无明确的指南来估计用于左室重建的贴片大小。我们设计了一种新的方法来确定正确的贴片大小,并应用于5个病例。贴片缝合线位于左室收缩(功能)和梗死部分的交界处。膜片的大小由AB的长度决定,称为“a”,作为基底,其中“a点”代表左室前壁交界处,“B点”代表左室后壁交界处,来自心导管置换术获得的左室图RAO 30度投影。在LV动脉瘤中,我们设计的贴片范围为a/2 < l <或= pi a/2,其中在RAO 30度处的贴片长度为“l”。通过将贴片尺寸设计为a/2 < l < a,特别是当收缩部分因动脉瘤而扩大时,我们努力重建使左室体积和轮廓归一化。另一方面,AMI后VSD早期左室收缩部分未扩大。因此,在a < l <或= pi a/2范围内设计贴片以维持LV容积。术后左室容积可以在手术前计算,通过使用设计的贴片长度。术后分析表明实际左室体积和轮廓与我们的估计几乎相同。该方法对LV重建的补丁大小规划非常有用。
{"title":"[Size estimation method for patch used in reconstruction of LV cavity].","authors":"G Yaginuma,&nbsp;Y Okada,&nbsp;K Abe,&nbsp;Y Iijima,&nbsp;K Uesho,&nbsp;K Kaneko,&nbsp;M Otsutomo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The reconstruction of LV cavity is accomplished by suturing a patch to the viable myocardium to exclude the infarcted area from the high LV pressures. However, there is no clear guideline to estimate the size of patch used for LV reconstruction. We have designed a new method to determine the correct patch size, and applied it in 5 cases. The suture line of the patch is at the junction of contractile (functional) and infarcted portions of LV. The patch size is determined by the length of AB, termed \"a\", as the base, where \"point A\" represents the junction on the LV anterior wall side, and \"point B\" the junction of the LV posterior wall side, from RAO 30 degrees projection of the left ventriculogram obtained by cardiac catheterization. In LV aneurysm, we designed the patch in the range of a/2 < l < or = pi a/2, where patch length on RAO 30 degrees is considered \"l\". An effort was made to reconstruct to normalize LV volume and contour by designing the patch size to be a/2 < l < a, particularly when the contractile portion was enlarged by aneurysm. On the other hand, in post AMI VSD, LV contractile portion is not enlarged in early stage. Therefore, the patch was designed in the range of a < l < or = pi a/2 to maintain LV volume. Postoperative LV volume can be calculated prior to surgery, by using the lengths of the designed patch. Postoperative analysis indicated that the actual LV volume and contour were almost identical to our estimation. This method is very useful in planning the patch size for LV reconstruction.</p>","PeriodicalId":6434,"journal":{"name":"[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai","volume":"45 9","pages":"1532-8"},"PeriodicalIF":0.0,"publicationDate":"1997-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20274268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[A resected case of diffuse malignant pleural mesothelioma diagnosed by thoracoscopic biopsy]. [胸腔镜活检诊断弥漫性恶性胸膜间皮瘤1例]。
K Shibuya, T Yusa, A Iyoda, K Hiroshima

A 53-year-old male was admitted with cough and chest pain. A chest X-ray film showed left pleural effusion and a chest CT revealed irregular thickening of the pleura. Pleural fluid cytology and percutaneous needle biopsy were negative for malignancy. Thoracoscopic findings revealed fibrin network with pleural effusions and yellow-white pleural thickening, but neither nodules nor masses were found. The thoracoscopic biopsy specimen from the pleural thickening resulted in the diagnosis of malignant pleural mesothelioma. Left pleuropneumonectomy with mediastinal lymph node dissection was performed. Since detailed inspection of the pleural cavity and taking large biopsy samples under thoracoscopic examination are possible, we consider thoracoscopic biopsy to be a useful method for obtaining diagnosis of malignant pleural mesothelioma. Pleuropneumonectomy and systematic lymph node dissection of the pulmonary hilum and mediastinum were believed to be necessary for the surgical treatments.

一名53岁男性因咳嗽和胸痛入院。胸部x光片显示左侧胸腔积液,胸部CT显示胸膜不规则增厚。胸膜液细胞学检查及经皮穿刺活检均为阴性。胸腔镜示纤维蛋白网伴胸膜积液,胸膜黄白色增厚,未见结节或肿块。胸膜增厚的胸腔镜活检标本诊断为恶性胸膜间皮瘤。左胸膜肺切除术并纵膈淋巴结清扫。由于胸腔镜下胸膜腔的详细检查和大的活检样本是可能的,我们认为胸腔镜活检是诊断恶性胸膜间皮瘤的一种有用的方法。胸膜肺切除术和系统的肺门和纵隔淋巴结清扫被认为是必要的手术治疗。
{"title":"[A resected case of diffuse malignant pleural mesothelioma diagnosed by thoracoscopic biopsy].","authors":"K Shibuya,&nbsp;T Yusa,&nbsp;A Iyoda,&nbsp;K Hiroshima","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 53-year-old male was admitted with cough and chest pain. A chest X-ray film showed left pleural effusion and a chest CT revealed irregular thickening of the pleura. Pleural fluid cytology and percutaneous needle biopsy were negative for malignancy. Thoracoscopic findings revealed fibrin network with pleural effusions and yellow-white pleural thickening, but neither nodules nor masses were found. The thoracoscopic biopsy specimen from the pleural thickening resulted in the diagnosis of malignant pleural mesothelioma. Left pleuropneumonectomy with mediastinal lymph node dissection was performed. Since detailed inspection of the pleural cavity and taking large biopsy samples under thoracoscopic examination are possible, we consider thoracoscopic biopsy to be a useful method for obtaining diagnosis of malignant pleural mesothelioma. Pleuropneumonectomy and systematic lymph node dissection of the pulmonary hilum and mediastinum were believed to be necessary for the surgical treatments.</p>","PeriodicalId":6434,"journal":{"name":"[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai","volume":"45 9","pages":"1581-6"},"PeriodicalIF":0.0,"publicationDate":"1997-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20274165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[A case of hemodialysis-associated innominate vein stenosis inducing superior vena cava syndrome]. [血液透析相关无名静脉狭窄诱发上腔静脉综合征1例]。
K Ataka, M Sakata, H Wakiyama, Y Tsuji, C Yamashita, M Okada

Twenty years after making an arteriovenous shunt in the left arm, a 45-year-old man on hemodialysis developed progressive swelling in the face to left arm and venous dilatation on the left anterior chest. Venogram disclosed severe stenosis of the left innominate vein at the junction of the superior vena cava, which was considered to be a primary lesion because he had no history of subclavian vein cannulation or mediastinal disease. Surgical resection of the stenotic lesion and direct anastomosis of the innominate vein resulted in a rapid recovery of the symptom of venous hypertension. This is a rare case of hemodialysis-associated large vein complication leading to superior vena cava syndrome.

在左臂动静脉分流术20年后,一名45岁的血液透析患者出现面部至左臂进行性肿胀和左前胸静脉扩张。静脉造影显示左无名静脉在上腔静脉交界处严重狭窄,由于他没有锁骨下静脉插管史或纵隔疾病,因此认为这是原发性病变。手术切除狭窄病变,直接吻合无名静脉,使静脉高压症状迅速恢复。这是一例罕见的血液透析相关的大静脉并发症导致上腔静脉综合征。
{"title":"[A case of hemodialysis-associated innominate vein stenosis inducing superior vena cava syndrome].","authors":"K Ataka,&nbsp;M Sakata,&nbsp;H Wakiyama,&nbsp;Y Tsuji,&nbsp;C Yamashita,&nbsp;M Okada","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Twenty years after making an arteriovenous shunt in the left arm, a 45-year-old man on hemodialysis developed progressive swelling in the face to left arm and venous dilatation on the left anterior chest. Venogram disclosed severe stenosis of the left innominate vein at the junction of the superior vena cava, which was considered to be a primary lesion because he had no history of subclavian vein cannulation or mediastinal disease. Surgical resection of the stenotic lesion and direct anastomosis of the innominate vein resulted in a rapid recovery of the symptom of venous hypertension. This is a rare case of hemodialysis-associated large vein complication leading to superior vena cava syndrome.</p>","PeriodicalId":6434,"journal":{"name":"[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai","volume":"45 9","pages":"1587-90"},"PeriodicalIF":0.0,"publicationDate":"1997-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20274166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Changes in neutrophil counts and lymphocytes subpopulations of a ECLS instituted patient]. [ECLS患者中性粒细胞计数和淋巴细胞亚群的变化]。
T Yamaguchi, A Murakami, K Fukahara, T Ueda, T Misaki

A 4-year-old girl with tetoralogy of Fallot developed acute heart failure after ASD semiclosure. As drugs had no effect, ECLS was instituted. She gradually recovered from acute heart failure. ECLS was detached at 5 days after institution. Neutrocytopenia and lymphocytopenia became apparent during ECLS institution. The Subpopulations of T cell and NK cell decreased, and B cell subpopulation increased on the contrary during ECLS institution. This lymphocytopenia was caused by a decrease in T cell, especially CD4(+) cell numbers. It is necessary to minimize the potential for infection during ELCS institution.

1例4岁女童法洛特系ASD半闭锁后发生急性心力衰竭。由于药物无效,ECLS被建立。她逐渐从急性心力衰竭中恢复过来。术后5 d分离ECLS。中性细胞减少症和淋巴细胞减少症在ECLS期间变得明显。在ECLS过程中,T细胞和NK细胞亚群减少,B细胞亚群增加。这种淋巴细胞减少是由T细胞,特别是CD4(+)细胞数量减少引起的。在ELCS机构期间,有必要将感染的可能性降到最低。
{"title":"[Changes in neutrophil counts and lymphocytes subpopulations of a ECLS instituted patient].","authors":"T Yamaguchi,&nbsp;A Murakami,&nbsp;K Fukahara,&nbsp;T Ueda,&nbsp;T Misaki","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 4-year-old girl with tetoralogy of Fallot developed acute heart failure after ASD semiclosure. As drugs had no effect, ECLS was instituted. She gradually recovered from acute heart failure. ECLS was detached at 5 days after institution. Neutrocytopenia and lymphocytopenia became apparent during ECLS institution. The Subpopulations of T cell and NK cell decreased, and B cell subpopulation increased on the contrary during ECLS institution. This lymphocytopenia was caused by a decrease in T cell, especially CD4(+) cell numbers. It is necessary to minimize the potential for infection during ELCS institution.</p>","PeriodicalId":6434,"journal":{"name":"[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai","volume":"45 9","pages":"1596-600"},"PeriodicalIF":0.0,"publicationDate":"1997-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20274168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Tricuspid valve replacement for infectious endocarditis associated with ventricular septal defect--report of three cases]. 【感染性心内膜炎合并室间隔缺损三尖瓣置换术——附3例报告】。
T Hanada, M Yamauchi, T Sasaki, S Nosaka, K Ku, K Nakayama

We reported two male and one female patient (17, 36 and 47 years old, respectively) who presented infectious endocarditis (IE) in association with ventricular septal defect (VSD). In all cases, surgical treatment was performed in the acute stage of IE for persistent sepsis, pulmonary embolisms, and for giant vegetations. Because the tricuspid valve apparatus was severely damaged, valve replacement with the Carpentier-Edwards pericardial bioprosthesis was done and small VSD was directly closed in all cases. In one case, a complete heart block occurred, which necessitated postoperative implantation of a permanent pacemaker. All patients recovered and resumed their original social activities without the relapse of endocarditis.

我们报告了两名男性和一名女性患者(分别为17岁、36岁和47岁),他们表现为感染性心内膜炎(IE)并室间隔缺损(VSD)。在所有病例中,在IE的急性期对持续败血症、肺栓塞和巨大的植被进行了手术治疗。由于三尖瓣器官严重受损,所有病例均采用Carpentier-Edwards心包生物假体进行瓣膜置换术,并直接关闭小室间隔。在一个病例中,发生了完全的心脏传导阻滞,这需要术后植入永久性起搏器。所有患者均恢复正常社交活动,无心内膜炎复发。
{"title":"[Tricuspid valve replacement for infectious endocarditis associated with ventricular septal defect--report of three cases].","authors":"T Hanada,&nbsp;M Yamauchi,&nbsp;T Sasaki,&nbsp;S Nosaka,&nbsp;K Ku,&nbsp;K Nakayama","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We reported two male and one female patient (17, 36 and 47 years old, respectively) who presented infectious endocarditis (IE) in association with ventricular septal defect (VSD). In all cases, surgical treatment was performed in the acute stage of IE for persistent sepsis, pulmonary embolisms, and for giant vegetations. Because the tricuspid valve apparatus was severely damaged, valve replacement with the Carpentier-Edwards pericardial bioprosthesis was done and small VSD was directly closed in all cases. In one case, a complete heart block occurred, which necessitated postoperative implantation of a permanent pacemaker. All patients recovered and resumed their original social activities without the relapse of endocarditis.</p>","PeriodicalId":6434,"journal":{"name":"[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai","volume":"45 9","pages":"1612-5"},"PeriodicalIF":0.0,"publicationDate":"1997-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20274060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[A surgical case of intrapericardial inferior vena cava injury complicating liver injury caused by a blunt trauma]. [钝性外伤致心包内下腔静脉损伤并发肝损伤一例]。
H Ninomiya, M Kido, H Kawaguchi, Y Kato, H Otani, H Imamura

A 63-year-old man was brought to our hospital 20 minutes after sustaining blunt injury. He had been struck by a steel frame weighing about 700 kg that had fallen from a height of 2 meters. On admission, he was in cardiogenic shock with a systolic pressure of 70 mmHg and a pulse rate of 130 beats/minute. There was no apparent open wound and no brain injury was suspected. Echocardiography and chest computed tomogram showed cardiac tamponade, and abdominal computed tomogram showed liver injury. We performed emergency operation under cardio-pulmonary bypass standby. Laceration of the inferior vena cava at the right atrium junction was noticed. We had to perform IVC repair under cardio-pulmonary bypass because of massive bleeding. Liver injury was repaired after neutralization of systemic heparinazation. The patient developed respiratory, hepatic and renal failure during his postoperative course; however, he was discharged on postoperative day 39. Intrapericardial IVC injury caused by blunt trauma is a very rare event. Reconstruction can be performed successfully under cardio-pulmonary bypass.

一名63岁男子在遭受钝器伤害20分钟后被送到我们医院。他被一个重约700公斤的钢架从2米高的地方掉下来击中。入院时,患者心源性休克,收缩压70 mmHg,脉搏130次/分钟。没有明显的开放性伤口,也没有怀疑脑损伤。超声心动图和胸部计算机断层扫描显示心脏填塞,腹部计算机断层扫描显示肝脏损伤。我们在心肺旁路备用情况下进行了紧急手术。右心房连接处可见下腔静脉撕裂伤。由于大量出血,我们不得不在心肺旁路下进行下腔静脉修复。肝损伤在全身性肝素化中和后得到修复。患者术后出现呼吸、肝肾功能衰竭;然而,他在术后第39天出院。钝性外伤引起的心包内腔损伤是非常罕见的。重建可以在心肺旁路下成功进行。
{"title":"[A surgical case of intrapericardial inferior vena cava injury complicating liver injury caused by a blunt trauma].","authors":"H Ninomiya,&nbsp;M Kido,&nbsp;H Kawaguchi,&nbsp;Y Kato,&nbsp;H Otani,&nbsp;H Imamura","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 63-year-old man was brought to our hospital 20 minutes after sustaining blunt injury. He had been struck by a steel frame weighing about 700 kg that had fallen from a height of 2 meters. On admission, he was in cardiogenic shock with a systolic pressure of 70 mmHg and a pulse rate of 130 beats/minute. There was no apparent open wound and no brain injury was suspected. Echocardiography and chest computed tomogram showed cardiac tamponade, and abdominal computed tomogram showed liver injury. We performed emergency operation under cardio-pulmonary bypass standby. Laceration of the inferior vena cava at the right atrium junction was noticed. We had to perform IVC repair under cardio-pulmonary bypass because of massive bleeding. Liver injury was repaired after neutralization of systemic heparinazation. The patient developed respiratory, hepatic and renal failure during his postoperative course; however, he was discharged on postoperative day 39. Intrapericardial IVC injury caused by blunt trauma is a very rare event. Reconstruction can be performed successfully under cardio-pulmonary bypass.</p>","PeriodicalId":6434,"journal":{"name":"[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai","volume":"45 9","pages":"1616-9"},"PeriodicalIF":0.0,"publicationDate":"1997-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20274061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1