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좌·우 션트를 동반한 선천성 심장질환아에서 교정수술후 폐유순도의 변화
DC Field | Value | Language |
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dc.contributor.author | 곽영란 | - |
dc.contributor.author | 최승호 | - |
dc.date.accessioned | 2020-07-02T16:47:27Z | - |
dc.date.available | 2020-07-02T16:47:27Z | - |
dc.date.issued | 1998 | - |
dc.identifier.issn | 0302-5780 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/176362 | - |
dc.description.abstract | Background: Low values of lung compliance have been reported in patients with increased pulmonary blood flow due to intracardiac left to right(L-R) shunt. The compliance had returned to within normal limits 4 to 6 weeks after surgical correction of the shunt. We investigated whether lung compliance was improved immediately after surgical correction of the shunt. Methods: Fifty four pediatric patients who were undergoing repair of intracardiac L-R shunt were evaluated. Lung compliance, arterial oxygen tension(PaO2) and arterial to end-tidal carbon dioxide tension difference(Pa-ETCO2) were measured after induction of anesthesia and at the completion of surgery. Left atrial pressure(LAP) was monitored. Lung compliance and end-tidal carbon dioxide tension were measured by monitoring system built in Cato anesthetic ventilator system. Results: Lung compliance was significantly lower after surgery(6.57±6.46 ml/mbar) than after induction of anesthesia(7.71±7.18 ml/mbar). After surgery, PaO2 was significantly decreased and Pa-ETCO2 significantly increased than after induction of anesthesia. The decrease in lung compliance after surgery significantly correlated with a decrease in PaO2(r=0.43) and an increase in Pa-ETCO2 (r=0.47) but not correlated with LAP. Conclusions: Although surgical correction of intracardiac L-R shunt reduces pulmonary blood flow, the lung compliance decreases in immediate postoperative period. Therefore a deterioration of postoperative lung compliance may need judicious management for pulmonary and hemodynamic instability. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | Korean | - |
dc.publisher | 대한마취과학회 | - |
dc.relation.isPartOf | Journal of Korean Society of Anesthesiologist (대한마취과학회지) | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | 좌·우 션트를 동반한 선천성 심장질환아에서 교정수술후 폐유순도의 변화 | - |
dc.title.alternative | Changes of Lung Compliance in Pediatric Patients after Surgical Correction of Left to Right Shunt | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) | - |
dc.contributor.googleauthor | 유은숙 | - |
dc.contributor.googleauthor | 곽영란 | - |
dc.contributor.googleauthor | 남상범 | - |
dc.contributor.googleauthor | 김재형 | - |
dc.contributor.googleauthor | 최승호 | - |
dc.contributor.googleauthor | 방서욱 | - |
dc.contributor.googleauthor | 한상건 | - |
dc.contributor.localId | A00172 | - |
dc.contributor.localId | A04101 | - |
dc.relation.journalcode | J01540 | - |
dc.contributor.alternativeName | Kwak, Young Lan | - |
dc.contributor.affiliatedAuthor | 곽영란 | - |
dc.contributor.affiliatedAuthor | 최승호 | - |
dc.citation.volume | 35 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 315 | - |
dc.citation.endPage | 320 | - |
dc.identifier.bibliographicCitation | Journal of Korean Society of Anesthesiologist (대한마취과학회지), Vol.35(2) : 315-320, 1998 | - |
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