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静脈内鎮静法下で2%塩酸リドカイン(1/20万エピネフリン含有)により心室性期外収縮を認めた高齢歯科患者の1症例
https://hsuh.repo.nii.ac.jp/records/8250
https://hsuh.repo.nii.ac.jp/records/8250e8c0a40b-cdb6-49e5-97f0-23b2e71783fd
名前 / ファイル | ライセンス | アクション |
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Item type | 紀要論文(ELS) / Departmental Bulletin Paper(ELS)(1) | |||||
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公開日 | 1997-06-30 | |||||
タイトル | ||||||
タイトル | 静脈内鎮静法下で2%塩酸リドカイン(1/20万エピネフリン含有)により心室性期外収縮を認めた高齢歯科患者の1症例 | |||||
言語 | ja | |||||
タイトル | ||||||
タイトル | A Case Report of an Aged Dental Patient with Premature Ventricular Contraction by 1/200,000 Epinephrinein 2% Lidocaine Hydrochloride in spite of Intravenous Sedation | |||||
言語 | en | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | AGED DENTAL PATIENT | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | PREMATURE VENTRICULAR CONTRACTION | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | LOCAL ANESTHESIA | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | INTRAVENOUS SEDATION | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | EPINEPHRINE | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | VASOCONSTRICTOR | |||||
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) | |||||
言語 | ja | |||||
記事種別(日) | ||||||
ja | ||||||
臨床 | ||||||
記事種別(英) | ||||||
en | ||||||
CLINICAL REPORT | ||||||
著者名(日) |
安孫子, 勲
× 安孫子, 勲× 工藤, 勝× 高田, 知明× 河野, 峰× 國分, 正廣× 新家, 昇 |
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著者所属(日) | ||||||
ja | ||||||
北海道医療大学歯学部 | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Dental Anesthesiology, School of Dentistry, Health Sciences University of Hokkaido | ||||||
抄録(英) | ||||||
内容記述タイプ | Other | |||||
内容記述 | This reports a case of Trigemmy 5 minutes from the beginning of administration of 1/200,000 epinephrine in 2% Lidocame Hydrochlonde in preparation for tooth extraction in an aged dental patient with circulatory complaints at intravenous sedation. The electrocardiogram before operation indicated previous heart infarction (ST elevation, Abnormal Q wave, Left ventricular hypertrophy) of the 77-year old, male. As anesthetic premedication, 12 mg of Diazepam was administered orally. When the patient was admitted to the operating room, he was sedated well, but these were signs of premature ventricular contraction (PVC), five times/mm. Diazepam was administered intravenously (6 mg/3 mins), and sedation was achieved. Trigemmy continued for 4 minutes trom 5 minutes after the administration of 40μg epinephrine Lidocame Hydrochloride was administered (10 mg×5 times) intravenously for arrhythmia Tngeminy disappeared, but these was sporadic PVC (16 times/min), PVC occurred once a min 2 hours after the end of the operation. The epmephrme (40 μg) gave rise to occurred arrhythmia in spite of safe injection speed and safe dosage. This suggests a desirable dosage of epinephrme of less than 30 jug for aged dental patients with circulatory complaints. It is also suggests that dentists should pay attention to relax patients when using premedication or sedation to ensure the effect of the treatment. | |||||
雑誌書誌ID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AN0008135X | |||||
書誌情報 |
ja : 東日本歯学雑誌 巻 16, 号 1, p. 135-140, 発行日 1997-06-30 |
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出版タイプ | ||||||
出版タイプResource | VoR |