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oai:niigata-u.repo.nii.ac.jp:00024238
2022-12-15T03:54:19Z
453:456
471:537:538:1236
6) 体外循環と輸血(シンポジウム 血液製剤の輸血適応と問題点, 1986年, 第420回新潟医学会例会)
6) 体外循環と輸血(シンポジウム 血液製剤の輸血適応と問題点, 1986年, 第420回新潟医学会例会)
Cardiopulmonary Bypass and Blood Transfusion (Indications and Problems in Tranfusion of Blood Components as of 1986)
金沢, 宏
大関, 一
矢沢, 正知
江口, 昭治
blood transfusion
cardiopulmonary bypass
輸血
人工心肺
Cardiopulmonary bypass (CPB), functioning as the pumping system and the gas exchange functions, is one of the important instruments in cardiovascular operations. But it has many unfavourable problems such as massive blood transfusion, hemodilution, abnormality of coagulation, etc. In fact, 5 or 6 units of blood are necessary to prime CPB in infant, child, and adult. After CPB, massive blood transfusion is necessary to keep good circulation, and to recover from hemodilution and abnormal coagulability. But autotransfusion is practiced in cases with ASD, ACBG, and mono valvular disase. This technique can reduce the side effect of blood transfusion, but is not appropriate for the case with long perfusion in open heart surgery, because of undesirable hemodilution and hypoproteinemia. At present, considerable volume of blood is necessary to operate CPB in cardiovascular surgery.
新潟医学会
1987-03
jpn
departmental bulletin paper
http://hdl.handle.net/10191/36377
https://niigata-u.repo.nii.ac.jp/records/24238
AN00182415
00290440
新潟医学会雑誌
新潟医学会雑誌
101
3
180
184
https://niigata-u.repo.nii.ac.jp/record/24238/files/101(3)_180-184.pdf
application/pdf
348.2 kB
2019-08-19