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著作: Fukuno Hiroshi/Tamaki Katsuyoshi/Urata Mari/Kohno Nao/Shimizu Ichiro/[野村 昌弘]/[伊東 進]/[齋藤 憲]/Influence of an artificial pleural effusion technique on cardio-pulmonary function and autonomic activity/[The Journal of Medical Investigation : JMI]

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EID
163332
EOID
907279
Map
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LastModified
2018年5月23日(水) 17:08:28
Operator
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Owner
齋藤 憲
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種別 必須 学術論文(審査論文)
言語 必須 英語
招待 推奨
審査 推奨
カテゴリ 推奨
共著種別 推奨
学究種別 推奨
組織 推奨
著者 必須
  1. (英) Fukuno Hiroshi
    役割 任意
    貢献度 任意
    学籍番号 推奨
  2. (英) Tamaki Katsuyoshi
    役割 任意
    貢献度 任意
    学籍番号 推奨
  3. (英) Urata Mari
    役割 任意
    貢献度 任意
    学籍番号 推奨
  4. (英) Kohno Nao
    役割 任意
    貢献度 任意
    学籍番号 推奨
  5. (英) Shimizu Ichiro
    役割 任意
    貢献度 任意
    学籍番号 推奨
  6. 野村 昌弘
    役割 任意
    貢献度 任意
    学籍番号 推奨
  7. 伊東 進
    役割 任意
    貢献度 任意
    学籍番号 推奨
  8. 齋藤 憲
    役割 任意
    貢献度 任意
    学籍番号 推奨
題名 必須

(英) Influence of an artificial pleural effusion technique on cardio-pulmonary function and autonomic activity

副題 任意
要約 任意

(英) Percutaneous treatment of hepatocellular carcinoma (HCC) located directly under the diaphragm is problematic because ultrasonic imaging is difficult, and the lung may be injured during the procedure. It has been reported that an infusion of 5% glucose solution into the thoracic cavity enables percutaneous treatment in such cases. However, the safety aspects of this have not been investigated. In this study, variations in heart rate and changes in circulatory and respiratory dynamics were examined during the infusion of artificial pleural effusion directly under the diaphragm in patients with HCC. The subjects were 13 patients with an HCC directly under the diaphragm. About 500 ml of a 5% glucose solution was infused into the thoracic cavity, and mean blood pressure, heart rate, and oxygen saturation were measured. Holter electrocardiography was simultaneously recorded to evaluate autonomic nerve function. To analyze variations in heart rate, the low-frequency waves (LF: 0.04-0.15 Hz), high-frequency waves (HF: 0.15-0.40 Hz, an index of parasympathetic nerve activity), and the LF/HF ratio (index of sympathetic nerve activity) were examined. The above parameters were measured before, during (when infusion of the half the planned volume was complete), and after infusion were compared. No significant changes in the mean blood pressure or heart rate were found. Oxygen saturation was significantly decreased during and after the infusion. The HF value was slightly higher after infusion and the LF value was significantly increased during infusion. The LF/HF ratio was significantly increased during infusion, and this increase persisted after infusion. The infusion of artificial pleural effusion had no effect on circulatory dynamics, but transiently affected respiratory functions. It was also revealed that infusion stimulated the parasympathetic nerves.

キーワード 推奨
  1. (英) Adult
  2. (英) Aged
  3. (英) Autonomic Nervous System
  4. (英) Blood Pressure
  5. (英) Carcinoma, Hepatocellular
  6. (英) Catheter Ablation
  7. (英) Female
  8. (英) Heart Rate
  9. (英) Humans
  10. (英) Liver Neoplasms
  11. (英) Male
  12. (英) Middle Aged
  13. (英) Oxygen
  14. (英) Pleural Effusion
  15. (英) Respiration
発行所 推奨
誌名 必須 The Journal of Medical Investigation : JMI([徳島大学.医学部])
(pISSN: 1343-1420, eISSN: 1349-6867)
ISSN 任意 1343-1420
ISSN: 1343-1420 (pISSN: 1343-1420, eISSN: 1349-6867)
Title: The journal of medical investigation : JMI
Title(ISO): J Med Invest
Supplier: 徳島大学
Publisher: Tokushima Daigaku Igakubu
 (NLM Catalog  (Webcat Plus  (医中誌Web  (J-STAGE  (Scopus  (CrossRef (Scopus information is found. [need login])
必須 54
必須 1,2
必須 48 53
都市 任意 徳島(Tokushima/[日本国])
年月日 必須 2007年 2月 初日
URL 任意
DOI 任意 10.2152/jmi.54.48    (→Scopusで検索)
PMID 任意 17380014    (→Scopusで検索)
CRID 任意
WOS 任意
Scopus 任意
機関リポジトリ 111494
評価値 任意
被引用数 任意
指導教員 推奨
備考 任意
  1. (英) Article.Affiliation: Departments of Digestive and Cardiovascular Medicine, Institute of Health Biosciences, The University of Tokushima Graduate School, Tokushima, Japan.

  2. (英) Article.PublicationTypeList.PublicationType: Journal Article