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タイトル: | 後腹膜鏡下腎摘除術後に肺血栓塞栓症を生じた1例 |
その他のタイトル: | A Case of Acute Pulmonary Thromboembolism after Retroperitoneoscopic Nephrectomy : A Case Report |
著者: | 桑田, 真臣 細川, 幸成 吉川, 元清 高田, 聡 熊本, 廣実 林, 美樹 大山, 信雄 藤本, 清秀 平尾, 佳彦 |
著者名の別形: | Kuwada, Masaomi Hosokawa, Yukinari Yoshikawa, Motokiyo Takada, Satoshi Kumamoto, Hiromi Hayashi, Yoshiki Oyama, Nobuo Fujimoto, Kiyohide Hirao, Yoshihiko |
キーワード: | Acute pulmonary thromboembolism Retroperitoneoscopic nephrectomy |
発行日: | Jan-2010 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 56 |
号: | 1 |
開始ページ: | 17 |
終了ページ: | 20 |
抄録: | A 65-year old woman underwent retroperitoneoscopic nephrectomy, for left renal mass which was suspected to be renal cell carcinoma. On the 2nd postoperation day, she suddenly complained of dyspnea and chest pain. Enhanced computed tomography revealed a defect of peripheral pulmonary artery, and ventilation-perfusion lung scanning showed large defect of the uptake in bilateral lung fields. Based on the arterial blood gas and imagings, she was diagnosed with a PTE (pulmonary thromboembolism). Thrombolytic therapy and anti-coagulant therapy were started. Thereafter, she recovered from hypoxia. However, these therapies gave rise to postoperative hemorrhage resulting in a massive retroperitoneal hematoma. |
著作権等: | 許諾条件により本文は2011-02-01に公開 |
URI: | http://hdl.handle.net/2433/92995 |
PubMed ID: | 20104004 |
出現コレクション: | Vol.56 No.1 |
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