直近一年間の累計
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ダウンロード数 : ?
ID 84161
タイトルヨミ
ダイチョウ センコウ ショウレイ ニ タイスル エンドトキシン キュウチャク リョウホウ ノ ケントウ
タイトル別表記
A study on therapeutic results of PMX-DHP for colorectal perforation in our hospital
著者
兼田, 裕司 徳島県立三好病院外科
矢田, 清吾 徳島県立三好病院外科
山口, 剛史 徳島県立三好病院外科
宮内, 隆行 徳島県立三好病院外科
倉立, 真志 徳島県立三好病院外科
余喜多, 史郎 徳島県立三好病院外科
キーワード
PMX-DHP
ARDS
ALI
P/F ratio
perforation of colon
資料タイプ
学術雑誌論文
抄録
The aim of this retrospective study was to investigate the therapeutic results of Polymyxin Bimmobilized Direct Hemoperfusion(PMX-DHP)for colorectal perforation. The study subjects were 40 patients with colorectal perforation surgically treated from 1993 through 2004, of whom 18 underwent PMX-DHP after operation(P group)and 22 underwent operations only(N group). Although there was no significant difference between the two groups in the overall mortality rate, the mortality rate for ARDS was significantly lower in the P group than in the N group. There was a statistically significant correlation between the P/F ratio and the time interval from the disease onset(r=-0.590, p=0.0009<0.001). The time lag from disease onset to operation and the length of PMX-DHP period were significantly longer in the death group than in the survivor group. We anticipate that PMX-DHP for colorectal perforation proves effective in reducing deaths from ARDS. For an effective facilitation of PMX-DHP, the procedure should be started as soon as possible from the onset of the disease.
掲載誌名
四国医学雑誌
ISSN
00373699
cat書誌ID
AN00102041
63
1-2
開始ページ
40
終了ページ
43
並び順
40
発行日
2007-04-25
備考
フルテキストファイル
言語
jpn