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- W2313245870 abstract "先天性右横隔膜ヘルニアの術後に肺葉肺気腫を生じた生後106日の女児に,右肺中・下葉切除術が予定された.生下時より高頻度人工換気による呼吸管理を受けていたが,肺葉肺気腫は次第に増悪し,PaO2/FIO2は80mm Hg以下,PaCO2は100mm Hg以上を示すようになった.人工呼吸単独では術中,術後のガス交換が不十分になると判断し,ヘパリン結合膜型人工肺を用いた体外式肺補助(ECLA)を併用して呼吸管理を行なった.術中に肺葉切断面から多量の血液が健側肺へ流れ込み,ガス交換のほとんどをECLAに依存する状況となった.本症例では,術中,術後の生命維持にECLAは不可欠であったと考えられた." @default.
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- W2313245870 date "1998-01-01" @default.
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- W2313245870 title "Perioperative Use of Heparin-bonded Extracorporeal Lung Assist(ECLA) in an Infant with Severe Lobar Emphysema." @default.
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- W2313245870 doi "https://doi.org/10.2199/jjsca.18.394" @default.
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