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3005 北関東医学会 >
330501 The Kitakanto medical journal >
Vol.64 (2014) >

Please use this identifier to cite or link to this item: http://hdl.handle.net/10087/8848

Title: 高齢者の続発性自然気胸に対する自己血注入による胸膜癒着療法の有用性
Other Titles: Efficacy of Pleurodesis with an Autologous Blood Patch for Secondary Spontaneous Pneumothorax in Elderly Patients
Authors: 門脇, 晋
尾形, 敏郎
五十嵐, 清美
野田, 大地
井上, 昭彦
池田, 憲政
佐藤, 尚文
Kadowaki, Susumu
Ogata, Toshiro
Igarashi, Kiyomi
Noda, Daichi
Inoue, Akihiko
Ikeda, Norimasa
Sato, Naohumi
Keywords: 気胸
COPD
高齢者
胸膜癒着療法
シルバーケア
pneumothorax
elderly patients
pleurodesis
silver care
Issue Date: 1-Aug-2014
Publisher: 北関東医学会
Citation: The Kitakanto medical journal = 北関東医学. 2014, 64(3), p.237-42
Abstract: 【背景・目的】続発性自然気胸に対する自己血注入による胸膜癒着療法について, 当科での成績を報告する.【対象と方法】胸腔内に自己血を注入した9 症例を対象とした. 注入量は患者の全身状態や貧血の程度に応じて決定した. 【結果】9 例に合計19 回(平均2回) 注入した. 平均年齢: 74.4±8.7歳, 全て男性であった. 8例で喫煙歴を認めた. 奏効率は78%であり, 2例が改善せず衰弱死した. 【結語】自己血による胸膜癒着療法は安全で効果的な治療方法であり, 高齢者の続発性自然気胸に対する治療の第一選択として検討すべきと考えられた.
Description: Background: We herein report our findings of a study on the performance of pleurodesis by means of placing an autologous blood patch into the refractory pneumothorax. Methods : We retrospectively reviewed 9 cases who had an autologous blood patch injected into thoracic cavity. The injection rate was determined according to the level of the patient’s overall status and anemia. Results : Autologous blood patches were thus injected 19 times in a total of 9 cases. The average age was 74.4±8.7years old, and all cases were males. Eight of the 9 patients reported a history of smoking. The response rate was 78%, and 2 cases did not show an improvement in pneumothorax and died. Conclusion : The performance of autologous blood patch pleurodesis is therefore considered to be a safe and effective treatment method. This method should therefore be used as a first line treatment for secondary spontaneous pneumothorax in elderly patients.
URI: http://hdl.handle.net/10087/8848
ISSN: 1343-2826
Appears in Collections:Vol.64 (2014)

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