| ○種別 (必須): | □ | 学術論文 (審査論文)
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| ○言語 (必須): | □ | 英語
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| ○著者 (必須): | 1. | 北川 哲也
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| 2. | (英) Katoh Itsuo (日) 加藤 逸夫 (読) かとう いつお
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| 3. | (英) Egawa Yoshiyasu (日) 江川 善康 (読) えがわ よしやす
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| 4. | (英) Taki Hiroki (日) 滝 浩樹 (読) たき ひろき
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| 5. | 吉栖 正典
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| 6. | (英) MIki Osamu (日) 三木 理 (読) みき おさむ
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| 7. | 増田 裕
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| 8. | (英) Takahashi Yoshio (日) 高橋 芳夫 (読) たかはし よしお
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| 9. | (英) Akita Hiroshi (日) 秋田 裕司 (読) あきた ひろし
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| 10. | (英) Matsuoka Suguru (日) 松岡 優 (読) まつおか すぐる
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| ○題名 (必須): | □ | (英) THE EVALUATION OF THE MODIFIED BLALOCK-TAUSSIG SHUNT WITH A PROSTHESIS OF MICROKNITTED DACRON FOR THE TETRALOGY OF FALLOT IN EARLY INFANCY (日) Microknitted Dacron graftを用いた乳幼児早期のファロー四微症に対するmodefied Blalock-Taussing手術の検討
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| ○要約 (任意): | □ | (英) We evaluated the surgical results of the modified Blalock-Taussig shunt (MBTS), performed with a prosthesis of microknitted Dacron, for the ductus-dependent tetralogy of Fallot (TOF) in early infancy. Nine MBTSs for eight patients, 4 with and 4 without pulmonary atresia, were performed, and one patient died. The mean age was 30 +/- 27 days, and the mean weight was 3460 +/- 770 g at the initial MBTS. In the initial two cases, the patients experienced convulsions due to severe hypoxia on account of the troubles of the preoperative administration of Prostaglandin E1 (PGE1). Thereafter, in order to prevent brain damage, we performed the MBTS following short-term administration of PGE1 (2-13 days). Consequently, we did not experience brain damage in later cases. Half of the patients with the MBTS with a 5 mm diameter prosthesis experienced postoperative congestive heart failure due to excessive pulmonary flow, and one of them died. The patients with the MBTS with a 4 mm diameter prosthesis had good postoperative courses. The suitable shunt flow in these patients was estimated to be 70-90 ml/kg/min. The MBTS with a 4 mm prosthesis obtained the lower level of this suitable shunt flow, but that a 5 mm prosthesis induced excessive shunt flow. Observing the patients' weight gain and the progress of polycythemia until two years of age, there were no differences between the MBTS with a 4 mm prosthesis and that with a 5 mm prosthesis. From these results, we recommend a 4 mm microknitted Dacron prosthesis for the MBTS of the TOF in early infancy.(ABSTRACT TRUNCATED AT 250 WORDS) (日)
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| ○キーワード (推奨): | 1. | (英) (日) 乳幼児早期 (読)
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| 2. | (英) (日) ファロー四微症 (読)
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| 3. | (英) microknitted Dacron graft (日) (読)
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| 4. | (英) modefied Blalock-Taussing shunt (日) (読)
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| 5. | (英) (日) 至適短絡術施行時期 (読)
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| ○発行所 (推奨): | □ | 特定非営利活動法人 日本胸部外科学会
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| ○誌名 (必須): | □ | 日本胸部外科学会雑誌(-1998) ([特定非営利活動法人 日本胸部外科学会])
(pISSN: 0369-4739)
| ○ISSN (任意): | □ | 0369-4739
ISSN: 0369-4739
(pISSN: 0369-4739) Title: [Zasshi] [Journal]. Nihon Kyobu Geka GakkaiTitle(ISO): Nihon Kyobu Geka Gakkai ZasshiPublisher: Nihon Kyobu Geka Gakkai (NLM Catalog)
(医中誌Web)
(Scopus)
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| ○巻 (必須): | □ | 39
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| ○号 (必須): | □ | 12
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| ○頁 (必須): | □ | 29(2145) 35(2151)
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| ○年月日 (必須): | □ | 西暦 1991年 12月 10日 (平成 3年 12月 10日)
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| ○PMID (任意): | □ | 1837799 (→Scopusで検索)
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| ○備考 (任意): | 1. | (英) Article.Affiliation: Department of Cardiovascular Surgery, University of Tokushima, Japan. (日)
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| 2. | (英) Article.PublicationTypeList.PublicationType: English Abstract (日)
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| 3. | (英) Article.PublicationTypeList.PublicationType: Journal Article (日)
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