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アイテム
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呼吸不全を伴った食道癌術後カイローマの1例
https://shinshu.repo.nii.ac.jp/records/27583
https://shinshu.repo.nii.ac.jp/records/275832f25e989-dd8c-416f-a445-a9873711a051
名前 / ファイル | ライセンス | アクション |
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https://soar-ir.repo.nii.ac.jp/?action=repository_action_common_download&item_id=4237&item_no=1&attribute_id=65&file_no=1
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Item type | Journal Article(1) | |||||
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公開日 | 2021-03-01 | |||||
タイトル | ||||||
タイトル | 呼吸不全を伴った食道癌術後カイローマの1例 | |||||
その他(別言語等)のタイトル | ||||||
その他のタイトル | A Case of Chyloma after Esophagectomy with Respiratory Dysfunction | |||||
作成者(その他言語) |
鬼頭, 宗久
× 鬼頭, 宗久× 小出, 直彦× 斉藤, 拓康× 鈴木, 彰× 花村, 徹× 吉田, 和夫× 宮川, 眞一 |
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公開者(その他言語) | ||||||
姓名 | 信州医学会 | |||||
書誌情報 |
信州医学雑誌 巻 54, 号 4, p. 197-201, 発行日 2006-08 |
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言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | chylothorax | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | chyloma | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | esophagectomy | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 乳び胸 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | カイローマ | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 食道切除術 | |||||
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 | |||||
アクセス権 | ||||||
アクセス権 | metadata only access | |||||
アクセス権URI | http://purl.org/coar/access_right/c_14cb | |||||
内容記述 | ||||||
内容記述タイプ | Other | |||||
内容記述 | We report a case of intractable chylothorax with chyloma after esophagectomy that demonstrated respiratory dysfunction. A 55-year-old man underwent thoracoscopically esophagectomy for esophageal cancer. After surgery, effusion from the chest drain increased to over 1000ml/day.We diagnosed chylothorax with laceration of the thoracic duct, and operated for thoracoscopic ligation of the thoracic duct on the 11th postoperative day (POD). After the second operation, although the patient took food without permission and fluid from the chest drain increased remarkably. We performed treatment by pleurodesis on the 35th POD, but fluid volume from the thoracic drain failed to decrease. Chest CT on the 34th POD showed a chyloma in the mediastinum. We performed conservative management for the chylothorax because fluid volume from the thoracic drain decreased to 70ml/day. On the 82th POD, his temperature rose, and WBC and CRP increased. We removed the central venous catheter. On the 89th POD chest X-ray showed that the chyloma had rapidly increased in size, and the patient had severe dyspnea. Respiratory tract obstruction by the large chyloma with bacterial infection was strongly suspected. We opened the wall of the chyloma and ligated the thoracic duct. We found an accessory duct or thick lateral branch of the main thoracic duct, and also ligated this duct. On the 15th POD after the third operation food intake began, and the patient was discharged from our hospital on the 35th POD after the third operation. It is suspected that the chylothrax was caused by injury to the accessory duct or the lateral branch of the main thoracic duct. | |||||
日付 | ||||||
日付 | 2015-09-24 | |||||
日付タイプ | Created | |||||
資源タイプ | ||||||
内容記述タイプ | Other | |||||
内容記述 | Article | |||||
フォーマット | ||||||
内容記述タイプ | Other | |||||
内容記述 | application/pdf | |||||
その他の資源識別子 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 信州医学雑誌 54(4): 197-201(2006) | |||||
資源識別子URI | ||||||
識別子 | http://hdl.handle.net/10091/3690 | |||||
識別子タイプ | HDL | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0037-3826 | |||||
処理レコードID(総合目録DB) | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AN00120815 | |||||
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 |