Patient Selection and Therapeutic Strategy for Emergency Percutaneous Cardiopulmonary System in Cardiopulmonary Arrest Patients
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概要
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Background: To clarify the appropriate application and therapeutic strategy for the percutaneous cardiopulmonary system (PCPS) in patients in cardiopulmonary arrest (CPA), the effects of the duration of cardiopulmonary resuscitation (CPR), diagnosis of underlying diseases, subsequent intervention and complications were retrospectively investigated for the correlation between discharge or death of patients. The patients were treated under an identical therapeutic PCPS protocol. Methods and Results: The 69 CPA patients [55 males (78.6%), 14 females; age, 55.0 ±15.3 years; age range 15-79 years, 50 in-hospital CPA (I-CPA) and 19 out-of-hospital CPA (O-CPA) patients] were treated with emergency PCPS. The mean duration of CPR was 43.6 ±37.4 min. Of 18 discharged patients (26.1%), 14 had I-CPA and 4 had O-CPA. Significant factors in the discharge of patients were confirmed diagnosis, subsequent treatment and prevention of complications associated with PCPS. Conclusions: Appropriate patient selection for PCPS in cases of O-CPA is likely to give a similar survival rate as for I-CPA. Patient selection and reversibility of the underlying disease and clinical state after starting PCPS affect the prognosis. Aggressive diagnosis and therapy for the underlying disease and prevention of complications associated with PCPS are essential factors in successful discharge of patients. Patients with an unknown etiology are not expected to fully recover, despite PCPS.
- 2009-07-20
著者
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KUROSAWA TOSHIRO
Department of Medicine, Kitasato University School of Medicine
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Izumi Tohru
Department Of Cardio-angiology Kitasato University School Of Medicine
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Kurosawa Toshiro
Departments Of Cardio-angiology And Emergency And Critical Care Medicine Kitasato University School
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Kurosawa Toshiro
Department Of Medicine Kitasato University School Of Medicine
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Izumi Tohru
北里大学 医学部循環器内科
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Izumi Tohru
北里大学 医学部循環器内科学教室
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AOYAMA Naoyoshi
Departments of Cardio-angiology and Emergency and Critical Care Medicine, Kitasato University School
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IMAI Hiroshi
Departments of Cardio-angiology and Emergency and Critical Care Medicine, Kitasato University School
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KONO Ken
Departments of Cardio-angiology and Emergency and Critical Care Medicine, Kitasato University School
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KATO Shintaro
Departments of Cardio-angiology and Emergency and Critical Care Medicine, Kitasato University School
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FUKUDA Naoto
Departments of Cardio-angiology and Emergency and Critical Care Medicine, Kitasato University School
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SOMA Kazui
Departments of Cardio-angiology and Emergency and Critical Care Medicine, Kitasato University School
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Izumi Tohru
北里大学
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Izumi Tohru
北里大学 医学部循環器内科学
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Kohno Ken
Departments Of Cardio-angiology And Emergency And Critical Care Medicine Kitasato University School
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Soma Kazui
Departments Of Cardio-angiology And Emergency And Critical Care Medicine Kitasato University School
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Fukuda Naoto
Departments Of Cardio-angiology And Emergency And Critical Care Medicine Kitasato University School
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Fukuda Naoto
Department Of Surgery Keihin General Hospital
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Katou Shintarou
Departments Of Cardio-angiology And Emergency And Critical Care Medicine Kitasato University School
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Kato Shintaro
Department Of Biological Science Aichi University Of Education
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Aoyama Naoyoshi
Departments Of Cardio-angiology And Emergency And Critical Care Medicine Kitasato University School
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Aoyama Naoyoshi
Department Of Cardio-angiology Kitasato University School Of Medicine
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Kono Ken
Departments Of Cardio-angiology And Emergency And Critical Care Medicine Kitasato University School
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Izumi Tohru
Departments Of Cardio-angiology And Emergency And Critical Care Medicine Kitasato University School
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Izumi Tohru
Department Of Cardio-angiology Kitasato University School Of Medcine
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Soma Kazui
Department Of Critical Care And Emergency Kitasato University School Of Medicine
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Imai Hiroshi
Departments Of Cardio-angiology And Emergency And Critical Care Medicine Kitasato University School
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Imai Hiroshi
Department Of Bone And Joint Surgery Ehime University Graduate School Of Medicine
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Izumi Tohru
Department Of Internal Medicine And Cardiology And Gene Genetcs Kitasato University School Of Medici
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Kurosawa Toshiro
Department Of Cardio-angiology Kitasato University School Of Medicine
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Imai Hiroshi
Department Of Biological Sciences Graduate School Of Science University Of Tokyo
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Izumi Tohru
Department Of Angio-cardiology Kitasato University School Of Medicine
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Aoyama Naoyoshi
Department Of Angio-cardiology Kitasato University School Of Medicine
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Fukuda Naoto
Department of Cardio-Angiology, Kitasato University School of Medicine
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