A5045224466- Cardiac Arrest and Resuscitation
- Central Venous Catheters and Hemodialysis
- Venous Thromboembolism Diagnosis and Management
- Mechanical Circulatory Support Devices
- Trauma Management and Diagnosis
- Vascular Procedures and Complications
- Context-Aware Activity Recognition Systems
- Climate Change and Health Impacts
- Occupational exposure and asthma
- Radiation Dose and Imaging
- Anesthesia and Pain Management
- IoT-based Smart Home Systems
- Platelet Disorders and Treatments
- Injury Epidemiology and Prevention
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiovascular Effects of Exercise
- Disaster Response and Management
- Musculoskeletal pain and rehabilitation
- Indoor and Outdoor Localization Technologies
- Gastrointestinal Tumor Research and Treatment
- Shoulder and Clavicle Injuries
- Facial Trauma and Fracture Management
- Respiratory Support and Mechanisms
- Ophthalmology and Eye Disorders
- Cardiac Structural Anomalies and Repair
Hirosaki University
2012-2022
Hirosaki University Hospital
2012-2022
Weatherford College
2021
Nippon Shinyaku (Japan)
2019
Vertebral artery injury is a low-frequency but high-mortality injury. The surgical approach to bleeding vertebral one of the most difficult procedures in trauma surgery.A 64-year-old woman was transported our emergency department after being stabbed middle side right neck with large kitchen knife. Her initial hospital examination indicated shock state, and computed tomography images revealed We undertook angiography transcatheter arterial embolization before operation.The patient suffered...
The mortality of the bath-related cardiac arrest (BRCA) is extremely high. While air temperature reported to be associated with BRCA occurrence, it unclear whether daily minimum temperatures or difference between maximum and influences occurrence most.A retrospective cohort study adult patients was conducted January 2015 February 2020 at Hirosaki University Hospital Emergency Department. following data were collected: age, sex, day event, location initial rhythm, presence return spontaneous...
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The optimal timing for initiating extracorporeal membrane oxygenation (ECMO) after starting mechanical ventilation has yet to be clarified. We report herein the cases of two patients with coronavirus disease 2019 (COVID-19) acute respiratory distress syndrome (ARDS) who were successfully managed an early ECMO induction strategy. Case 1 involved a 64-year-old man admitted in polymerase chain reaction-confirmed COVID-19. On day 5 at hospital, he was intubated, but remained unimproved despite...
症例は70歳台，男性．腹部大動脈瘤の診断となり，ステントグラフト内挿術（EVAR）を施行した．EVAR 4日後に腹痛・下血が認められ，画像所見上，腸管壊死・穿孔は明らかではなかったため，保存的加療を行った．EVAR 6日後に腹痛の急激な増悪が出現し，腹腔内遊離ガスが認められたため，緊急開腹手術となった．術中所見では空腸から回腸の腸管壁が非連続性に壊死し，一部が穿孔していたため，約300cmの広範囲小腸を切除した．病理組織学的検査では腸間膜動脈に血栓・塞栓は認められず，非閉塞性腸管虚血（NOMI）と考えられた．術後，肺炎・感染性大動脈瘤を発症し，術後第57病日に多臓器不全のため永眠された．EVARは従来の手術と比較して低侵襲であるが，それ故に高リスク症例に対しても施行される傾向にある．EVAR後に急激な腹痛を発症した際にはNOMIの発症を考慮し，迅速に治療方針を決定することが重要と考えられた．
症例は76歳，女性．排尿困難・下血を主訴に近医を受診した．入院時，画像検査で骨盤内に最大径約10cmの腫瘍性病変が認められた．入院後，大量の性器出血と下血を認め，出血性ショックとなった．持続する出血に対してtranscatheter arterial embolization（TAE）を行い，ショックを離脱した．後日，下部消化管内視鏡検査で下部直腸から肛門管にかけて粘膜下腫瘍が認められ，gastrointestinal stromal tumor（GIST）と診断された．メシル酸イマチニブを用いた術前補助化学療法を行い，腫瘍の縮小が認められ，根治切除が可能となった．直腸GISTは下血・性器出血を主訴に発見されることがあり，まれに出血性ショックとなる場合がある．出血性ショックをきたした直腸GISTに対してTAEを施行し，術前補助化学療法後に根治切除を行い得た症例を経験したため報告する．
Background: Japan is facing upcoming unprecedented population problems, proportion of elderly person increasing year by year. It expected that 1 in 2.5 people will be 65 years old and over, 4 75 over 2060. All Utstein style registry out hospital cardiac arrest (OHCA) from 2005 to 2014 showed the percentage patients with OHCA aged 80 more were 37.1% 47.8% 1% each Although cardiogenic arrests frequent than non-cardiogenic, there are specific problems non-cardiogenic Japan. Methods: Data...
The optimal timing for initiating extracorporeal membrane oxygenation (ECMO) after starting mechanical ventilation has yet to be clarified. We report herein the cases of two patients with coronavirus disease 2019 (COVID-19) acute respiratory distress syndrome (ARDS) who were successfully managed an early ECMO induction strategy. Case 1 involved a 64-year-old man admitted in polymerase chain reaction–confirmed COVID-19. On day 5 at hospital, he was intubated, but remained unimproved despite...