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生体肝移植後患児に対する歯科治療時の全身麻酔5症例の検討
https://mdu.repo.nii.ac.jp/records/2813
https://mdu.repo.nii.ac.jp/records/28138f3dc0ef-82c2-4f09-a2c4-b241fbdf01ec
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
本文 (866.6 kB)
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| Item type | 学術雑誌論文 / Journal Article_04(1) | |||||||||||
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| 公開日 | 2019-03-04 | |||||||||||
| タイトル | ||||||||||||
| タイトル | 生体肝移植後患児に対する歯科治療時の全身麻酔5症例の検討 | |||||||||||
| 言語 | ||||||||||||
| 言語 | jpn | |||||||||||
| キーワード | ||||||||||||
| 主題Scheme | Other | |||||||||||
| 主題 | 生体肝移植後 | |||||||||||
| キーワード | ||||||||||||
| 主題Scheme | Other | |||||||||||
| 主題 | 全身麻酔 | |||||||||||
| キーワード | ||||||||||||
| 主題Scheme | Other | |||||||||||
| 主題 | 揮発性吸入麻酔 | |||||||||||
| 資源タイプ | ||||||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||
| 資源タイプ | journal article | |||||||||||
| その他（別言語等）のタイトル | ||||||||||||
| その他のタイトル | Five cases of general anesthesia for dental treatment in pediatric patients with living-related liver transplantation | |||||||||||
| 著者 |
小川, さおり
× 小川, さおり
× 谷山, 貴一
× 澁谷, 徹
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| 抄録 | ||||||||||||
| 内容記述タイプ | Abstract | |||||||||||
| 内容記述 | We report 5 cases of general anesthesia for dental treatment in pediatric patients (2 years 6 months oldto6 years old) with living-related liver transplantation. Every patientswere diagnosed to congenital atresia of the bile duct and had living-related livertransplantation (Table 1). The preoperative examination data were normal and they hadno limitation in daily living. Anesthesia was inducted with thiopental sodium in 3 casesand in another 2 cases sevoflurane was used for the induction of anesthesia. Anesthesia was maintained with inhalation anesthetics in every cases, isoflurane with nitrous oxide 2 cases andsevoflurane with nitrous oxide 3 cases. We performed anesthetic management attentively to maintenance of hepatic blood flow, avoidance of hypoxia, infection due to immunosuppressants and liver dysfunction by anesthetic agents. There were nocomplications in perioperative period and they were discharged on the following day.The metabolic rate of isoflurane and sevoflurane in the body were 0.2 % and 3 % respectively.The metabolic rate of sevoflurane is greater than isoflurane , but trifluoroacetic acid is not produced by sevoflurane which may cause liver dysfunction. Desflurane is metabolized more less than isoflurane and it will be a choice of anesthetic agent for the maintenance of general anesthesia. We used nitrous oxide together with isoflurane or sevoflurane in every cases, because of its extremely low metabolic rate and reduction of the volatile anestheticʼs dosage. | |||||||||||
| 書誌情報 |
松本歯学 en : Journal of the Matsumoto Dental University Society 巻 44, 号 2, p. 88-91, 発行日 2018-12-31 |
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| 出版者 | ||||||||||||
| 出版者 | 松本歯科大学学会 | |||||||||||
| ISSN | ||||||||||||
| 収録物識別子タイプ | ISSN | |||||||||||
| 収録物識別子 | 2188-7233 | |||||||||||
| 書誌レコードID | ||||||||||||
| 収録物識別子タイプ | NCID | |||||||||||
| 収録物識別子 | AA12684554 | |||||||||||
| フォーマット | ||||||||||||
| 内容記述タイプ | Other | |||||||||||
| 内容記述 | application/pdf | |||||||||||
| 著者版フラグ | ||||||||||||
| 出版タイプ | VoR | |||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||||
