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"症例は18歳男で,3歳時に精神発達遅滞と診断され,体重115kgであった.保護者依頼で歯科受診し,ユニット上での仰臥位・開口が困難なため,ミダゾラム静脈内投与で口腔内診査を行った.続いてスケーリングを試みたが,体動が著しく,塩酸ケタミン投与で施行した.通院が困難で行動調節も難しいため,入院後全身麻酔下で歯科治療し翌日退院の予定とし,術前全身状態評価はASA分類のRisk 3であった.当日は前投薬としてミダゾラム 8.0mg,硫酸アトロピン 0.3mgを静脈内投与し,麻酔導入には塩酸ケタミン 100mgを使用した.麻酔維持,呼吸管理,循環動態に特に問題はなく,保存処置8本と抜歯1本を行い,手術時間2時間45分,麻酔時間4時間15分,術中補液1600ml,尿量1003mlであった.覚醒良好であったが,病室移送後不穏状態が徐々に増加した.多動行動が顕著となったため,ミダゾラム 3mg,ペンタゾシン 30mgを順次投与したが効果はなく,抑制困難となったため,バイタルサイン確認後,やむを得ず当日退院を許可した", "subitem_description_type": "Abstract"}]}, "item_10002_heading_23": {"attribute_name": "見出し", "attribute_value_mlt": [{"subitem_heading_banner_headline": "歯学部", "subitem_heading_headline": "歯科麻酔 その他", "subitem_heading_language": "ja"}]}, "item_10002_publisher_8": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "岩手医科大学歯学会"}]}, "item_10002_rights_15": {"attribute_name": "権利", "attribute_value_mlt": [{"subitem_rights": "出典:岩手医科大学歯学雑誌, 25(3), 307-311, 2000"}, {"subitem_rights": "rights:岩手医科大学歯学会"}, 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{"subitem_subject": "肥満(合併症)", "subitem_subject_scheme": "Other"}, {"subitem_subject": "歯科麻酔", "subitem_subject_scheme": "Other"}, {"subitem_subject": "ヒト", "subitem_subject_scheme": "Other"}, {"subitem_subject": "青年期(13〜18)", "subitem_subject_scheme": "Other"}, {"subitem_subject": "男", "subitem_subject_scheme": "Other"}, {"subitem_subject": "歯学", "subitem_subject_scheme": "Other"}, {"subitem_subject": "mentally retarded patient", "subitem_subject_scheme": "Other"}, {"subitem_subject": "obese", "subitem_subject_scheme": "Other"}, {"subitem_subject": "dental treatment", "subitem_subject_scheme": "Other"}, {"subitem_subject": "general anesthesia", "subitem_subject_scheme": "Other"}, {"subitem_subject": "mentally retarded patient", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}, {"subitem_subject": "obese", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}, {"subitem_subject": "dental treatment", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}, {"subitem_subject": "general anesthesia", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}]}, "item_language": {"attribute_name": "言語", "attribute_value_mlt": [{"subitem_language": "jpn"}]}, "item_resource_type": {"attribute_name": "資源タイプ", "attribute_value_mlt": [{"resourcetype": "departmental bulletin paper", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_title": "肥満をともなう精神発達遅滞患者の歯科治療時の全身麻酔経験", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "肥満をともなう精神発達遅滞患者の歯科治療時の全身麻酔経験"}, {"subitem_title": "An experience in General Anesthesia for Dental Treatment of an Obese Mentally Retarded Patient", "subitem_title_language": "en"}]}, "item_type_id": "10002", "owner": "3", "path": ["118", "572", "610"], "permalink_uri": "https://iwatemed.repo.nii.ac.jp/records/2827", "pubdate": {"attribute_name": "公開日", "attribute_value": "2014-05-16"}, "publish_date": "2014-05-16", "publish_status": "0", "recid": "2827", "relation": {}, "relation_version_is_last": true, "title": ["肥満をともなう精神発達遅滞患者の歯科治療時の全身麻酔経験"], "weko_shared_id": 3}
肥満をともなう精神発達遅滞患者の歯科治療時の全身麻酔経験
https://iwatemed.repo.nii.ac.jp/records/2827
https://iwatemed.repo.nii.ac.jp/records/28276aeb0afb-4d31-42e3-83b2-bcd24a618938
名前 / ファイル | ライセンス | アクション |
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A022530307 (640.8 kB)
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2014-05-16 | |||||
タイトル | ||||||
タイトル | 肥満をともなう精神発達遅滞患者の歯科治療時の全身麻酔経験 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | An experience in General Anesthesia for Dental Treatment of an Obese Mentally Retarded Patient | |||||
言語 | ||||||
言語 | jpn | |||||
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 | departmental bulletin paper | |||||
著者 |
四戸, 豊
× 四戸, 豊× 佐藤, 裕× 佐藤, 雅仁× 久慈, 昭慶× 城, 茂治× SHINOHE, Yutaka× SATO, Yu× SATO, Masahito× KUJI, Yoshiaki× JOH, Shigeharu |
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書誌情報 |
岩手医科大学歯学雑誌 en : Dental journal of Iwate Medical University 巻 25, 号 3, p. 307-311, 発行日 2000-12 |
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出版者 | ||||||
出版者 | 岩手医科大学歯学会 | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0385-1311 | |||||
権利 | ||||||
権利情報 | 出典:岩手医科大学歯学雑誌, 25(3), 307-311, 2000 | |||||
権利 | ||||||
権利情報 | rights:岩手医科大学歯学会 | |||||
権利 | ||||||
権利情報 | rights:本文データは学協会の許諾に基づきCiNiiから複製したものである | |||||
見出し | ||||||
大見出し | 歯学部 | |||||
小見出し | 歯科麻酔 その他 | |||||
言語 | ja |