| Item type |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2020-03-06 |
| タイトル |
|
|
タイトル |
Usefulness of transthoracic ultrasonography to diagnose pneumothorax after peroral endoscopic myotomy : a case report |
| 言語 |
|
|
言語 |
eng |
| キーワード |
|
|
主題Scheme |
Other |
|
主題 |
Achalasia |
| キーワード |
|
|
主題Scheme |
Other |
|
主題 |
Per-oral endoscopic myotomy |
| キーワード |
|
|
主題Scheme |
Other |
|
主題 |
Hypercapnia |
| キーワード |
|
|
主題Scheme |
Other |
|
主題 |
Pneumothorax |
| キーワード |
|
|
主題Scheme |
Other |
|
主題 |
Transthoracic ultrasonography |
| 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 |
| 著者 |
Kinoshita, Hirotaka
Takekawa, Daiki
Mikami, Noriko
Saito, Junichi
Hirota, Kazuyoshi
|
| 著者所属 |
|
|
値 |
Department of Anesthesiology, Hirosaki University Graduate School of Medicine |
| 抄録 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
The treatment of esophageal achalasia using peroral endoscopic myotomy （POEM） is a standard technique that is less invasive than other techniques. There have been no previous reports of using transthoracic ultrasonography to detect complications with POEM.
We report the case of a 29-year-old male patient with esophageal achalasia who underwent POEM. The procedure was repeatedly interrupted due to hypercapnia and hemodynamic instability. Even after a peritoneal puncture to release abdominal distention, improvement of his respiratory condition was limited. The patient emerged promptly from general anesthesia but developed tachypnea. Using transthoracic ultrasonography we diagnosed left pneumothorax. He was admitted to the intensive care unit, and the trachea was extubated without any invasive intervention 6 hours later.
We treated a patient who required mechanical ventilation due to hypercapnic respiratory failure after undergoing POEM and found that transthoracic ultrasonography may be useful to detect pneumothorax in such cases. |
| 書誌情報 |
弘前医学
巻 70,
号 2-4,
p. 172-176,
発行日 2020-03-02
|
| ISSN |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
0439-1721 |
| 書誌レコードID |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AN00211444 |
| 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 |
| 出版者 |
|
|
出版者 |
弘前大学大学院医学研究科 |
Hirosaki Med J 70-2-4_172 (699.5 kB)
