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口腔外科手術に応用したモルヒネ麻酔
https://ohu-lib.repo.nii.ac.jp/records/2337
https://ohu-lib.repo.nii.ac.jp/records/2337fd7db37c-5358-4ad9-b951-08dcea68c557
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
KJ00004260589.pdf (376.0 kB)
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| Item type | 紀要論文(ELS)_JAIRO Cloud（WEKO3）対応_596d4a9f(1) | |||||
|---|---|---|---|---|---|---|
| 公開日 | 2004-12-30 | |||||
| タイトル | ||||||
| タイトル | 口腔外科手術に応用したモルヒネ麻酔 | |||||
| タイトル | ||||||
| タイトル | Application of Morphine Anesthesia for Oral Surgery | |||||
| 言語 | en | |||||
| 言語 | ||||||
| 言語 | jpn | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | morphine | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | general anesthesia | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | oral surgery | |||||
| 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 | |||||
| ページ属性 | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | P(論文) | |||||
| 記事種別(日) | ||||||
| 値 | 症例報告 | |||||
| 記事種別(英) | ||||||
| 言語 | en | |||||
| 値 | Clinical Report | |||||
| 著者名(日) |
山崎, 信也
× 山崎, 信也× 清野, 浩昭× 川合, 宏仁× 金, 秀樹× 中江, 次郎× 高田, 訓× 大野, 敬 |
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| 著者名よみ |
ヤマザキ, シンヤ
× ヤマザキ, シンヤ× セイノ, ヒロアキ× カワアイ, ヒロヨシ× コン, ヒデキ× ナカエ, ジロウ× タカダ, サトシ× オオノ, タカシ |
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| 著者名(英) |
YAMAZAKI, Shinya
× YAMAZAKI, Shinya× SEINO, Hiroaki× KAWAAI, Hiroyoshi× KON, Hideki× NAKAE, Jiro× TAKADA, Satoshi× OHNO, Takashi |
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| 著者所属(日) | ||||||
| 値 | 奥羽大学歯学部口腔外科学講座 | |||||
| 著者所属(日) | ||||||
| 値 | 奥羽大学歯学部口腔外科学講座 | |||||
| 著者所属(日) | ||||||
| 値 | 奥羽大学歯学部口腔外科学講座 | |||||
| 著者所属(日) | ||||||
| 値 | 奥羽大学歯学部口腔外科学講座 | |||||
| 著者所属(日) | ||||||
| 値 | 奥羽大学歯学部口腔外科学講座 | |||||
| 著者所属(日) | ||||||
| 値 | 奥羽大学歯学部口腔外科学講座 | |||||
| 著者所属(日) | ||||||
| 値 | 奥羽大学歯学部口腔外科学講座 | |||||
| 著者所属(英) | ||||||
| 言語 | en | |||||
| 値 | Department of Oral Surgery, Ohu University School of Dentistry | |||||
| 著者所属(英) | ||||||
| 言語 | en | |||||
| 値 | Department of Oral Surgery, Ohu University School of Dentistry | |||||
| 著者所属(英) | ||||||
| 言語 | en | |||||
| 値 | Department of Oral Surgery, Ohu University School of Dentistry | |||||
| 著者所属(英) | ||||||
| 言語 | en | |||||
| 値 | Department of Oral Surgery, Ohu University School of Dentistry | |||||
| 著者所属(英) | ||||||
| 言語 | en | |||||
| 値 | Department of Oral Surgery, Ohu University School of Dentistry | |||||
| 著者所属(英) | ||||||
| 言語 | en | |||||
| 値 | Department of Oral Surgery, Ohu University School of Dentistry | |||||
| 著者所属(英) | ||||||
| 言語 | en | |||||
| 値 | Department of Oral Surgery, Ohu University School of Dentistry | |||||
| 抄録(英) | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | Morphine anesthesia is often applied for the cardiovascular surgery and to patients complicated with cardiovascular disease because it has a property of hemodynamic stability due to the block from nociceptive stimulation and pain. However, there are no reports to apply the morphine anesthesia for oral surgery cases in Japan. We tried to apply morphine anesthesia to a 73-year-old male patient scheduled for left radical neck dissection and tumorectomy under diagnosis of left maxillary carcinoma. As premedication, 0.5mg atropin sulfate and 5mg midazolam were administreted intramusclely 40 minutes before anesthesia was started. Anesthesia induction was performed by intravenous 1mg of flunitrazepam, 50mg of morphine hydrocloride, and 4mg of pancronium bromide, followed by naso-tracheal intubation. Anesthesia was maintained with only 61/min oxygen and continuous cervical epidural anesthesia for first 3hours after anesthesia induction. Thereafter, 21/min oxygen, 41/min nitrousoxide, and low dose of isoflurane were administered properly. The duration of the anesthesia and the operation were 6 hr 50 minutes and 5 hr 13 minutes respectively. As a result, sufficient hemodynamic stability was obtained during the operation, and there was no complaint of postoperative pain. Remarkable respiratory inhibition as morphine side effect during operation was observed for about 3 hours after morphine administration. However, we had no trouble since we applied control ventilation, and there was no sustained respiratory inhibition after finishing the operation. Morphine anesthesia might be good indication for long oral surgery of old patients or patients with cardiovascular disease. | |||||
| 雑誌書誌ID | ||||||
| 収録物識別子タイプ | NCID | |||||
| 収録物識別子 | AN1010214X | |||||
| 書誌情報 |
奥羽大学歯学誌 巻 31, 号 4, p. 261-264, 発行日 2004-12-30 |
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