胃切除術患者の日常検査について

概要

論文の詳細を見る
For application of gastrectomy by the Nakayama system, the author has devised the Takase suturing method which provides a securer apposition and adhesion of the gastric and duodenal serous membranes during whole-layer sutures on the rear wall of inosculated parts. Also use of "catgut" as the suturing thread on this occasion could prevent incomplete removal of silk threads from such inosculated parts. For prevention of bleeding from inosculated parts after operation and of the resultant anemia, it is necessary not only to suture with sufficient care during. operation but also to pay attention to the presence or absence of constitutional hemorrhagic predispositions or bleeding tendencies in the patients involved. Namely, the author would like to propose that determination of the "prothrombin value", an easily practicable process, should be introduced as one means of everyday checking, and that if the value is found below 35 per cent, it must be improved immediately.
千葉大学の論文