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of or relating to a hemorrhage (同)haemorrhagic
abnormally low blood pressure

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低血圧[症]

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1. 成人の外傷患者に起きた中等度から重度の出血の初期マネージメントinitial management of moderate to severe hemorrhage in the adult trauma patient [show details]
… fluid resuscitation only to a SBP of greater than 70 mmHg . Controlled hypotension may be beneficial in patients with hemorrhagic shock due to torso injuries from gunshot or stab wounds. However, it may …
2. 成人における確定診断を得られていない低血圧やショックの評価および初期アプローチevaluation of and initial approach to the adult patient with undifferentiated hypotension and shock [show details]
… patients with dyspnea, tachycardia, hypotension, elevated jugular venous pressure, distant heart sounds, pulsus paradoxus, and known risk factors (eg, trauma, bleeding diathesis, known pericardial effusion …
3. 周術期の二次救命処置（ACLS）perioperative advanced cardiac life support acls [show details]
…shifts, and/or blood loss. Insertion of a transesophageal echocardiography (TEE) probe is helpful to recognize and treat underlying ventricular dysfunction, as well as other causes of hypotension (eg, hypovolemia …
4. 外傷のマネージメント：不安定な小児に対するアプローチtrauma management approach to the unstable child [show details]
… reversal of hypovolemia or control of hemorrhage should take priority in some trauma patients. For example, controlled hypotension may be beneficial in patients with hemorrhagic shock due to torso injuries from …
5. 産後出血の概要overview of postpartum hemorrhage [show details]
… vaginal bleeding is observed. Class III hemorrhage involves a 30 to 40 percent blood volume loss, resulting in a significant drop in blood pressure and changes in mental status. Any hypotension (systolic …

English Journal

Japanese Journal

多発外傷による腹腔内出血および出血性ショックに対してハイブリッド手術室で治療した1例

曽我太三,櫻井馨士,安岡尭之,松島純也,坪内陽平,金指秀明,山本理絵,秋枝一基
日本救急医学会関東地方会雑誌 41(4), 458-461, 2020
<p>われわれは, 致死的多発外傷に対しハイブリッド手術室を用いて治療し救命し得た1例を経験したので報告する。症例は54歳の男性。自転車走行中に2tトラックと衝突し受傷した。当院搬送時は血圧低下, 意識障害を呈しており, 大動脈内バルーン遮断後に全身CTで外傷性胸部大動脈損傷, 外傷性血気胸, 腹腔内出血を伴う脾損傷, 不安定型骨盤骨折などの損傷を認めた。ハイブリッド⼿術室で緊急開腹を …
NAID 130007962192

膵転移結腸穿通部からの消化管出血に対し外科治療を行った再発乳癌の1例

宮崎敬太,木村泰生,浅利貞毅,藤田博文,荻野和功
日本臨床外科学会雑誌 81(4), 664-667, 2020
<p>症例は55歳，女性．主訴は下血．42歳から右乳癌に対して加療中であった．約4年前，膵体部に乳癌転移巣を指摘され，化学療法（weekly paclitaxel+bevacizumab）を施行されていた．大量の下血を認めて救急受診し入院となった．入院時，低血圧と血液検査で炎症反応と軽度の貧血を認めた．腹部造影CTで膵尾部に60mm大の内部に血腫を伴う転移巣を認めた．また，横行結腸への …
NAID 130007932407

手術開始直後に突然の出血性ショックを来し左室損傷が判明した胸部刺創の1例

増田信也,板垣皓大,神田桂輔,畠山正治,長沼政亮,鈴木伸章,永谷公一
日本心臓血管外科学会雑誌 49(2), 72-76, 2020
<p>症例は55歳男性，自殺企図で左前胸部に包丁が刺さって倒れている患者が発見され救急搬送された．エコーで左血胸と診断され，胸腔ドレナージを行った．CT検査を行ったところ，包丁が左肺を貫通し左下肺静脈に包丁先端が位置している所見であった．心嚢液はなく，人工心肺準備下に左開胸での肺切除と左下肺静脈の損傷があれば修復する方針で，仰臥位として，手術を開始した．大腿動静脈を剥離していたところ， …
NAID 130007828481

Related Links

Hemorrhagic Hypotension - an overview | ScienceDirect Topics

Hemorrhagic Hypotension. Hemorrhagic hypotension leads to a well-characterized sequence of events including (i) a decrease in cardiac output and blood pressure, (ii) subsequent release of endogenous vasoconstrictors, such as norepinephrine, epinephrine, angiotensin II, and vasopressin, in an attempt to maintain normal blood pressure (compensatory ...

Early physiologic responses to hemorrhagic hypotension ...

The delay in treatment of hemorrhagic shock can lead to severe acidosis and cellular hypoxia, microcirculatory damage, multiple organ failure, and ultimately death. In most experimental shock studies, the first posthemorrhage measurement is typically performed 15–30 min after the end of bleeding.

Hemorrhagic hypotension after brain injury causes an early ...

Hemorrhagic hypotension following TBI produced a significant and sustained reduction in cO2del associated with a lower cMRO2 and cO2ER, and higher ICP and CWC, than seen with lesion alone. This occurred despite adequate early restoration of sO2del. This confirms that cerebral ischemia is ongoing despite restoration of systemic hemodynamics.