@article{oai:niigata-u.repo.nii.ac.jp:00023338, author = {土田, 昌一 and 今泉, 恵次 and 金沢, 宏 and 富樫, 賢一 and 山崎, 芳彦 and 江口, 昭治}, issue = {9}, journal = {新潟医学会雑誌, 新潟医学会雑誌}, month = {Sep}, note = {Between January, 1982 and December, 1986, 34 patients suffered from multiple organ failure (MOF) after open heart surgery. They were devided into two groups. Group I contained 14 of 342 patients (4.1%) who associated with MOF after congenital heart sugeries. Group II contained 20 of 187 patients (10.7%) after acquired valvular surgeries. The mortality were 50%(7 patients) in Group I and 65% (13 patients) in Group II respectively. Following conclusions were obtained from results. 1. Early peritoneal dialysis or hemodialysis should be employed for renal failure, which might bring a good result. 2. Plasma exchange should be started at the total bilirubin level of 10mg/dl and over in Group I, and 15mg/dl and over in Group II. However, the outcome is often not satisfactory because of uncontroled severe infection or sepsis especially by isolated gram-negative rods.}, pages = {525--529}, title = {2) 心臓外科における多臓器障害とその対策(シンポジウム 多蔵器障害 : 予防と対策, 第430回新潟医学会)}, volume = {102}, year = {1988} }