EXPERIENCE WITH HAEMODILUTION PERFUSION FOR OPEN HEART SURGERY IN TOYOHASHI NATIONAL SANATORIUM
The open-heart surgery of 26 cases has been performed in our hospital under extracorporeal circulation. Perfusate is diluted to 30% hematocrit during surgery. Lactated Ringer's solution is used as diluent because of improvement of intra-operative microcirculation. To reduce post-operative bleed...
Saved in:
Published in | Japanese Journal of National Medical Services Vol. 24; no. 6; pp. 471 - 477 |
---|---|
Main Authors | , , , , , |
Format | Journal Article |
Language | Japanese |
Published |
Japanese Society of National Medical Services
20.06.1970
|
Online Access | Get full text |
Cover
Loading…
Abstract | The open-heart surgery of 26 cases has been performed in our hospital under extracorporeal circulation. Perfusate is diluted to 30% hematocrit during surgery. Lactated Ringer's solution is used as diluent because of improvement of intra-operative microcirculation. To reduce post-operative bleeding, we make an effort. The diluted blood in the machine was not infused femoral artery post-operatively, Instead of diluted blood, arm-to-arm blood (citrated fresh blood) is used soon after the operation. By transfusion of arm-to-arm blood, hematocrit of operated patient grow up to normal value rapidly. Then we can post-operatively prevent from anaemic hypoxia and secondary acidosis. On the other hand, arm-to-arm blood contains much thrombocytes than stored blood. This fact makes a contribution to decrease bleeding. Pot and base excess of femoral arterial blood suggest themselves adequate signs of total results of pulmonary function. With such efforts, we found less bleeding from operative wound. An average volume of post-operative bleeding is about 10cc/kg but a case. |
---|---|
AbstractList | The open-heart surgery of 26 cases has been performed in our hospital under extracorporeal circulation. Perfusate is diluted to 30% hematocrit during surgery. Lactated Ringer's solution is used as diluent because of improvement of intra-operative microcirculation. To reduce post-operative bleeding, we make an effort. The diluted blood in the machine was not infused femoral artery post-operatively, Instead of diluted blood, arm-to-arm blood (citrated fresh blood) is used soon after the operation. By transfusion of arm-to-arm blood, hematocrit of operated patient grow up to normal value rapidly. Then we can post-operatively prevent from anaemic hypoxia and secondary acidosis. On the other hand, arm-to-arm blood contains much thrombocytes than stored blood. This fact makes a contribution to decrease bleeding. Pot and base excess of femoral arterial blood suggest themselves adequate signs of total results of pulmonary function. With such efforts, we found less bleeding from operative wound. An average volume of post-operative bleeding is about 10cc/kg but a case. |
Author | KINOSHITA, Saburo SANTO, Takuji FUKUI, Jun SHIMIZU, Yoshio HARA, Tomotsugu MURASHIGE, Hiroyasu |
Author_xml | – sequence: 1 fullname: KINOSHITA, Saburo organization: Toyohashi National Sanatorium – sequence: 2 fullname: SHIMIZU, Yoshio organization: Toyohashi National Sanatorium – sequence: 3 fullname: FUKUI, Jun organization: Toyohashi National Sanatorium – sequence: 4 fullname: HARA, Tomotsugu organization: Toyohashi National Sanatorium – sequence: 5 fullname: MURASHIGE, Hiroyasu organization: Toyohashi National Sanatorium – sequence: 6 fullname: SANTO, Takuji organization: Toyohashi National Sanatorium |
BookMark | eNo9UEtvwjAYiyYmjTHuO-YPlDXp1zQ5VhBopNKgPrRxqvpItyJWppYL_56isV1sS5Yt2c9o0p06g9ArsReEUEbe2v5yIgLYgsICPPKApoRzsLhHxQRNbZsSizAhntB8GNrSptT1QHB3inL5sZOxktFS4neVBjjw5VavVJilSkd49NZZclNrHWO9kxEOpB-nOMnijYz3WEU41Xsd-EmgcOTfQn6IE3-UOlbZ9gU9NsVxMPM7z1C2lukysEK9UUs_tA6E8M4irhFOXbCKGe410BjhOi7nNQEGxCmdqiwbVtfAqAEHXIC6EoU9Lm2IAVO6zgytfnsPw7n4NPlP334X_SUv-nNbHU3-d1BOIb_DmP63q6-iz03nXAEo8l3S |
ContentType | Journal Article |
Copyright | Japanese Society of National Medical Services |
Copyright_xml | – notice: Japanese Society of National Medical Services |
DOI | 10.11261/iryo1946.24.471 |
DatabaseTitleList | |
DeliveryMethod | fulltext_linktorsrc |
EISSN | 1884-8729 |
EndPage | 477 |
ExternalDocumentID | article_iryo1946_24_6_24_6_471_article_char_en |
GroupedDBID | ALMA_UNASSIGNED_HOLDINGS F5P JSF RJT |
ID | FETCH-LOGICAL-j118n-15e93da6c6e87f4fe953588d146413b3cbbf6dd462e434544dc9a0471f1e4eb53 |
ISSN | 0021-1699 |
IngestDate | Wed Apr 05 05:29:11 EDT 2023 |
IsDoiOpenAccess | true |
IsOpenAccess | true |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 6 |
Language | Japanese |
LinkModel | OpenURL |
MergedId | FETCHMERGED-LOGICAL-j118n-15e93da6c6e87f4fe953588d146413b3cbbf6dd462e434544dc9a0471f1e4eb53 |
OpenAccessLink | https://www.jstage.jst.go.jp/article/iryo1946/24/6/24_6_471/_article/-char/en |
PageCount | 7 |
ParticipantIDs | jstage_primary_article_iryo1946_24_6_24_6_471_article_char_en |
PublicationCentury | 1900 |
PublicationDate | 1970/06/20 |
PublicationDateYYYYMMDD | 1970-06-20 |
PublicationDate_xml | – month: 06 year: 1970 text: 1970/06/20 day: 20 |
PublicationDecade | 1970 |
PublicationTitle | Japanese Journal of National Medical Services |
PublicationTitleAlternate | Japanese Journal of National Medical Services |
PublicationYear | 1970 |
Publisher | Japanese Society of National Medical Services |
Publisher_xml | – name: Japanese Society of National Medical Services |
References | 4) Gadboys, H. L., Slomin, R. & Litwak, R. S.: Homologous Blood Syndrome: I. Preliminary observations on its relationship to clinical cardiopulmonary bypass. Ann. Surg., 156, 793, (1962 6) 橋本勇, 信岡亘, 渡部高久, 柳田淳二, 宮田健, 上田泰章, 中本毅, 岩瀬鉄磨, 原智次, 横山繁樹, 中路進, 伊志嶺玄公, 山中祥弘, 古谷幸夫, 牧田俊彦, 村重汎保, 鉢嶺弘: 我々の教室に於ける開心術に用いる稀釈血体外循環, 第1報, 京府医大誌, 75, 899-902, (1966a 1) 伴敏彦, 龍田憲和, 立道清, 野口一成: 血液希釈体外循環における2, 3の問題点, 第12回日本胸部外科学会関西地方会, 大阪市, (1969 7) 橋本勇, 信岡亘, 渡部高久, 柳田淳二, 宮田健, 上田泰章, 中本毅, 岩瀬鉄磨, 原智次, 横山繁樹, 中路進, 伊志嶄玄公, 山中祥弘, 古谷幸夫, 牧田俊彦, 村重汎保, 鉢嶺弘: 我々の教室に於ける開心術に用いる稀釈血体外循環, 第2報, 京府医大誌, 75, 903-908, (1966b 9) 久保克行: 著者との討論, 第5回中部外科学会総会, 松本市, (1969 12) 山口繁: 希釈体外循環の研究 (各種代用血漿使用時の腎循環, 腎機能の実験的ならびに臨床的研究), 日本胸部外科学会雑誌, 15, 1185-1212, (1967 11) 梅本博昭, 岡田浪速, 森下久, 栗山司, 西村治, 小松輝夫, 竹原平, 桜井武雄, 三木田真治, 長束皓司, 竹中孝造, 生馬利之, 西村皓市, 太田泰弘, 相馬恵美子: Anoxiaよりみた血液希釈体外循環の限界, 第12回日本胸部外科会関西地方会, 大阪市, (1969 5) 浜田徹: 希釈体外循環下開心術前後の血行動態と希釈液の効果-特にGelatin修飾液 (Haema-ccell®) を中心に-, 日本胸部外科学会雑誌, 16, 729-753, (1968 14) 酒井圭輔: 大量希釈体外循環に関する実験的ならびに臨床的研究 (主として40%希釈群について), 日本胸部外科学会雑誌, 16, 1204-1229, (1968 3) 藤倉一郎, 横須賀達也, 和田注, 三浦勇, 小船井良夫, 藤村光夫, 堺裕, 山口繁: 重量方式Vinyl Sheet Oxygenatorによる小児体外循環, 手術, 21, 277-280, (1967 10) 榊原仟, 山口繁, 堺裕, 藤村光夫, 藤倉一郎, 三浦勇, 小船井良夫, 和田汪: Vinyl Sheet Disposable Oxygenatorとその臨床応用, 胸部外科, 20, 2-8, (1967 8) 橋本勇, 横山繁樹, 伊志嶺玄公, 信岡亘: 尿所見からみた無血充填体外循環法の検討, 胸部外科, 22, 351-354, (1969 13) 山本善護: 血液希釈体外循環のガス動態に関する研究, 日本胸部外科学会雑誌, 16, 1014-1027, (1968 2) 岩佐裕, 渋田大, 渡部高久, 中本毅, 宮田健, 藤沢健夫, 原智次, 永根隆治, 西村耕治, 山下滋夫, 東平介: 僻地における循環器疾患診療の諸問題, 京都医学会雑誌, 17, 51-55, (1967 |
References_xml | |
SSID | ssib022574985 ssib001535802 ssib031783270 ssj0000744927 ssib000871959 ssib039897558 ssib020483960 ssib023167316 |
Score | 1.2374256 |
Snippet | The open-heart surgery of 26 cases has been performed in our hospital under extracorporeal circulation. Perfusate is diluted to 30% hematocrit during surgery.... |
SourceID | jstage |
SourceType | Publisher |
StartPage | 471 |
Title | EXPERIENCE WITH HAEMODILUTION PERFUSION FOR OPEN HEART SURGERY IN TOYOHASHI NATIONAL SANATORIUM |
URI | https://www.jstage.jst.go.jp/article/iryo1946/24/6/24_6_471/_article/-char/en |
Volume | 24 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
ispartofPNX | Japanese Journal of National Medical Services, 1970/06/20, Vol.24(6), pp.471-477 |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV3BjtMwELXKcuGCQICAZZEP3KKUNrGT-MAhWlISliZLm4gulyiOXdgeWrTbHuBX-RnGcZy0gAQLlyiKayv2vM68mdgzCL1YkuWI-9y3uT-mNpEetSuvYnYVMMo9161Ek_FmmnpxQd4u6GIw-L63a2m35cP622_PlfyLVOEZyFWdkr2BZLtB4QHcg3zhChKG61_JOFqcgx_WBIk-JHlsxWE0zV4n74qmlA60TQqlKy3w9KzsPEqtOAL-as2L2ZtodmElqZVnF1kczuPE6tLizkO4zWZJMT0grmBUVbFKa4_BpiaQaL72GMXTafEkzWDsPNSxZ5DfpovoxKA1PxaNBdhcf77sGibFWZHo8yIdbuNw1gyRq62D17tPuz5WMWZNSRvbGfV2xLyq2ZH6x1c1Jw5UMWtdSGkotaIOAgKavI2WtJpcn8ZuEbuvloku89JaeKILx_xqPMCbBJFfXn3djBnxhg4Zdh0PUnK3Ai_NL0uHlO0FOpSmWZ2bA5jeQrcdn1G13_Ts_T739Q8S-4DpoUGfi00lVHZZ77uC3vUJ6xMNOSqFgdtze-CBoJx75euygPkml1tDS3xCmClhrNfTfLaHeb_8adZAyFbgnpitjQ3byu-huy3IcKjneB8NVtUDVPZ4xwrv-ADvuMM7BrxjhXfc4B23eMdJiju8Y4N33OP9ISomUX4a222BEHsFfvHaHlPJXFF5tScDH7SOZGoNAwHWH7gZd2vOl54QxHMkcQklRNSsGsHslmNJJKfuI3S03qzlY4QFE1RWUlDGBBF8BG5RUMMwAhg2YZX3BL3S61F-0VlgypuB4Ol_9j9Gd_o_1DN0tL3ayROgw1v-vIHVD7vuoGU |
link.rule.ids | 315,786,790,27955,27956 |
linkProvider | Colorado Alliance of Research Libraries |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=EXPERIENCE+WITH+HAEMODILUTION+PERFUSION+FOR+OPEN+HEART+SURGERY+IN+TOYOHASHI+NATIONAL+SANATORIUM&rft.jtitle=Japanese+Journal+of+National+Medical+Services&rft.au=KINOSHITA%2C+Saburo&rft.au=SHIMIZU%2C+Yoshio&rft.au=FUKUI%2C+Jun&rft.au=HARA%2C+Tomotsugu&rft.date=1970-06-20&rft.pub=Japanese+Society+of+National+Medical+Services&rft.issn=0021-1699&rft.eissn=1884-8729&rft.volume=24&rft.issue=6&rft.spage=471&rft.epage=477&rft_id=info:doi/10.11261%2Firyo1946.24.471&rft.externalDocID=article_iryo1946_24_6_24_6_471_article_char_en |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0021-1699&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0021-1699&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0021-1699&client=summon |