Organ Failures Due to Low Cardiac Output Syndrome Following Open Heart Surgery : PANEL DISCUSSION ON PUMP FAILURE OF THE HEART WITH COMPLICATIONS : 49th Annual Scientific Session of the Japanese Circulation Society
スポンサーリンク
概要
- 論文の詳細を見る
During the period from August, 1977 to December, 1984, a total of 3003 patients who received open heart surgery were treated postoperatively at the ICU of National Cardiovascular Center. Low cardiac output syndrome (LOS) developed in 669 (22.3%) patients. Organ failures due to LOS were studied in these patients. Although the overall mortality of postoperative patients was 5.6% and improved to around 4% in the later years, death rate of patients with LOS was persistently high (22.8%) and showed no tendency to improve even in the latest yeart. Moreover, the clinical results of those LOS patients who developed organ failure were extremely poor; the mortality of patients with respiratory failure (RF) accounted for 36.8% and that of patients with other organ failure exceeded 50%. The incidence of impaired organs in LOS patients was 49.9% in RF, 29.9% in acute renal failure (ARF), 18.4% in hepatic failure (HF), 16.4% in disseminated intravascular coagulation (DIC), 15.5% in central nervous system failure (CNSF), and 11.1% in gastrointestinal bleeding (GIB). Pathophysiological mechanisms as well as the management of these major complications caused by LOS are also discussed. Some patients developed multiple organ failure (MOF). Plasma exchange (PE) was performed on 16 patients who developed MOF. Improvement of various organ functions was obtained and consequently three patients were successfully treated by means of PE. Removal of various substances toxic cycle produced by the interaction of impaired organs in patients with MOF are major roles of PE in the treatment of MOF.
- 社団法人日本循環器学会の論文
- 1986-04-20
著者
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Fujuta Tsuyoshi
Department Of Cardiovascular Surgery National Cardiovascular Center
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Fujita Tsuyoshi
Department Of Cardiology Tokyo Women's Medical Univercity
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TANAKA Kazuhiko
Department of Clinical Pharmacology & Pharmacokinetics, Osaka University of Pharmaceutical Sciences
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Fujita Tsuyoshi
Department Of Cardiovascular Surgery National Cardiovascular Center
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Fujita Tsuyoshi
Dept. Of Surgery National Cardiovascular Center
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Nito Yasuaki
Department of Cardiovascular Surgery National Cardiovascular Center
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Kumon Keiji
Department of Cardiovascular Surgery National Cardiovascular Center
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Naito Yasuaki
Department of Cardiovascular Surgery, The National Cardiovascular Center
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Kozuka Takahiro
Dept. Of Radiology And Artificial Organs National Cardiovascular Center
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Naito Yasuaki
Department Of Intensive Care Unit & Cardiovascular Surgery National Cardiovascular Center
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Kumon Keiji
Department Of Intensive Care Unit & Cardiovascular Surgery National Cardiovascular Center
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Naito Yasuaki
Department Of Cardiovascular Surgery National Cardiovascular Center
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Naito Yasuaki
Natjonal Cardjovascular Center Dept.of Pediatrjcs. Wakayama Medical Colledge Dept.of Thoracic Surger
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Tatsumi Fujio
Department Of Cardiorogy The Heart Institute Of Japan Tokyo Women's Medical University
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Fujita Tsuyoshi
The Department Of Cardiovascular Surgery National Cardibvascular Center
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Tatsumi Fujio
Department Of Cardiology Tokyo Women's Medical Univercity
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Fuiita Tsuyoshi
National Cardiovascular Center
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HIRATA TAKAHIKO
Department of Intensive Care Unit & Cardiovascular Surgery, National Cardiovascular Center
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Kozuka Takahiro
Department Of Intensive Care Unit & Cardiovascular Surgery National Cardiovascular Center
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Tanaka Kazuhiko
Department Of Cardiology Dokkyo Medical University Koshigaya Hospital
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Fujita Tsuyoshi
Department Of Cardiology The Heart Institute Of Japan Tokyo Women's Medical University
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Kozuka Takahiro
Department Of Radiology National Cardiovascular Center
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Kozuka Takahiro
Radiology National Cardiovascular Center
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Hirata Takahiko
Department Of Intensive Care Unit & Cardiovascular Surgery National Cardiovascular Center
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Kozuka Takahiro
Department Of Pediatrics Radiology National Cardiovascular Center
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Fuiita Tsuyoshi
Department Of Cardiology Tokyo Women's Medical Univercity
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Naito Yasuaki
Natjonal Cardjovascular Center Dept.of Pediatrjcs. Wakayama Medical Colledge Dept.of Thoracic Surger
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Fujita Tsuyoshi
Department Of Intensive Care Unit & Cardiovascular Surgery National Cardiovascular Center
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Fujita Tsuyoshi
National Cardiovascular Center Department Of Cardiovascular Surgery.
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Tanaka Kazuhiko
Department Mechanical Engineering Fukui Technology College
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Tanaka Kazuhiko
Department Of Intensive Care Unit & Cardiovascular Surgery National Cardiovascular Center
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Fujita Tsuyoshi
Divisioh Of Cardiac Surgery National Cardiovascular Center
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Fujita Tsuyoshi
Department Of Cardiac Surgery. National Cardiovascular Center Hospital
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