WEKO3
アイテム
鈍的腹部外傷における診断的腹腔洗浄の経験
http://hdl.handle.net/10191/45699
http://hdl.handle.net/10191/45699d6fe7957-ffdb-4841-9b24-40d0d1911a47
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
112(1)_29-36.pdf (1.9 MB)
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| Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
|---|---|---|---|---|---|---|
| 公開日 | 2017-01-19 | |||||
| タイトル | ||||||
| タイトル | 鈍的腹部外傷における診断的腹腔洗浄の経験 | |||||
| タイトル | ||||||
| タイトル | 鈍的腹部外傷における診断的腹腔洗浄の経験 | |||||
| 言語 | en | |||||
| 言語 | ||||||
| 言語 | jpn | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | diagnostic peritoneal lavage (DPL) | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | blunt abdominal trauma | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | traumatic intestinal injury | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | 診断的腹腔洗浄 | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | 鈍的腹部外傷 | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | 外傷性腸管損傷 | |||||
| 資源タイプ | ||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
| 資源タイプ | departmental bulletin paper | |||||
| その他のタイトル | ||||||
| その他のタイトル | Diagnostic Peritoneal Lavage for Blunt Abdominal Trauma : A Single-Center Experience | |||||
| 著者 |
広瀬, 保夫
× 広瀬, 保夫× 本多, 拓× 斎藤, 英樹× 片柳, 憲雄× 山本, 睦生× 桑山, 哲治× 藍沢, 修× 丸田, 宥吉 |
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| 著者別名 | ||||||
| 識別子Scheme | WEKO | |||||
| 識別子 | 106940 | |||||
| 姓名 | Hirose, Yasuo | |||||
| 著者別名 | ||||||
| 識別子Scheme | WEKO | |||||
| 識別子 | 106941 | |||||
| 姓名 | Honda, Hiraki | |||||
| 著者別名 | ||||||
| 識別子Scheme | WEKO | |||||
| 識別子 | 106942 | |||||
| 姓名 | Saito, Hideki | |||||
| 著者別名 | ||||||
| 識別子Scheme | WEKO | |||||
| 識別子 | 106943 | |||||
| 姓名 | Katayanagi, Norio | |||||
| 著者別名 | ||||||
| 識別子Scheme | WEKO | |||||
| 識別子 | 106944 | |||||
| 姓名 | Yamamoto, Mutsuo | |||||
| 著者別名 | ||||||
| 識別子Scheme | WEKO | |||||
| 識別子 | 106945 | |||||
| 姓名 | Kuwayama, Tetsuji | |||||
| 著者別名 | ||||||
| 識別子Scheme | WEKO | |||||
| 識別子 | 106946 | |||||
| 姓名 | Aizawa, Osamu | |||||
| 著者別名 | ||||||
| 識別子Scheme | WEKO | |||||
| 識別子 | 106947 | |||||
| 姓名 | Maruta, Yuukichi | |||||
| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | The early diagnosis of hollow visceral injury in blunt abdominal trauma is difficult, especially in multiple injuries and in comatose patients, despite the recent progress of radiographic diagnostic procedures. We evaluated the accuracy of diagnostic peritoneal lavage (DPL), especially for diagnosis of intestinal injury, using the diagnostic criteria proposed by Otomo Y et. al. in 1989. This diagnostic criteria is characterized from the supplementary criteria："WBC ≧ RBC/150 (if hemoperitoneum positive), amylase or alkaline phosphatase ≧ RBC/10,000" added to the conventional DPL criteria："WBC ≧ 500/mm^3" for intestinal injury. From April 1996 to December 1996, 37 cases of blunt abdominal trauma were admitted to our emergency medical center, including multiple trauma complicated with abdominal injuries. We did not perform DPL if the indication for laparotomy was obvious in clinical and radiographic findings. We performed DPL in 15 patients based on the following criteria：1) patients with equivocal findings on the abdominal physical examination ultrasonography and/or computed tomography, 2) patients who could not have their abdominal examination due to an altered mental state, or patients receiving sedative drugs. Ten patients were judged negative for an intestinal jnjury by DPL, and the absence of an intestinal injury were confirmed in 9 patients, excluding 1 patient who immediately died. If they were judged by conventional DPL criteria, false positive occured in 4 patients. Five patients were judged as having positive intestinal injuries by DPL, all patients of whom had intestinal injuries in laparotomy. Only in alkaline phosphatase, false negative occurred in 3 patients. Data in this series suggest that the DPL criteria proposed by Otomo Y et. al. is more accurate to diagnose intestinal injury than the conventional criteria, DPL is a useful method as a complementary examination in cases with equivocal clinical, radiographic and sonographic findings in evaluation of blunt abdominal trauma. | |||||
| 書誌情報 |
新潟医学会雑誌 en : 新潟医学会雑誌 巻 112, 号 1, p. 29-36, 発行日 1998-01 |
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| 出版者 | ||||||
| 出版者 | 新潟医学会 | |||||
| ISSN | ||||||
| 収録物識別子タイプ | ISSN | |||||
| 収録物識別子 | 00290440 | |||||
| 書誌レコードID | ||||||
| 収録物識別子タイプ | NCID | |||||
| 収録物識別子 | AN00182415 | |||||
| 著者版フラグ | ||||||
| 値 | publisher | |||||
