@article{oai:niigata-u.repo.nii.ac.jp:00021957,
 author = {小林, 英司 and 田宮, 洋一 and 本間, 正一郎 and 高橋, 辰弥},
 issue = {10},
 journal = {新潟医学会雑誌, 新潟医学会雑誌},
 month = {Oct},
 note = {Nowadays many terminal ill patients with cancer are treated at the hospital. They can not live in their own home with their loving family without some nutritional support. From April 1985 to March 1988, we treated 29 patients with intermittent (cyclic) infusion in the terminal stage of digestive organs' cancer. The used infusion catheter was implanted subcutaneously for the purpose of protection from infection and locked with the intermittent infusion adaptor (RV-100) which prevented blood regurgitation after infusion which assisted them with parenteral nutrition. Five patients (3 men and 2 women), ages 36～78 with the average age of 58.2 years, could stay in their own home for more than 3 weeks. All of their catheters were kept open more than one month and the longest duration was 143 days. One patient died in his own home. With this treatment, they were able to take a bath, go out side and live in their own home. We would like to introduce our technique of cyclic home parenteral nutrition with RV-100 in the terminal stage of digestive organs' cancer., 経口摂取が不十分になった末期消化器癌患者に化学療法を併用した中心静脈栄養（TPN）にて加療した．その際行うTPNは通常の24時間（continuous）TPNを行わずに，入浴や外出していては在宅でのTPNを可能にするため間欠的（cyclic）に施行した．間欠投与は逆流防止弁付き注入アダプター（RV-100^<【〇!R】>）を使用し，また皮膚からの感染を防御するためにカテーテルを約10cm皮下に埋没した．昭和60年4月から63年3月までに新潟県六日町病院外科に於て29例にcyclic TPNを行った．経験症例はカテーテル熱を認めたものはなく，カテーテル留置後死亡までに平均3ヶ月と長期間TPNが可能であった．また3週間以上home cyclic TPN が可能であった症例は，5例（男：女=3：2）で平均58.2歳であった．},
 pages = {877--882},
 title = {末期癌患者の在宅静脈栄養法 : 逆流防止弁付き注入アダプターを使用した皮下埋没式間欠的輸液療法の検討},
 volume = {104},
 year = {1990}
}