| Japanese |
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| Title | 小児心臓カテーテル検査に基づく肺血栓塞栓 - 肺血流, 換気シンチグラフィによる評価 - |
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| Subtitle | 原著 |
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| Authors | 長町茂樹*, 陣之内正史*, 星博昭*, 大西隆*, 二見繁美*, 渡辺克司*, 松岡裕二** |
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| Authors(kana) | |
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| Organization | *宮崎医科大学放射線科, **小児科 |
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| Journal | 核医学 |
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| Volume | 27 |
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| Number | 4 |
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| Page | 341-347 |
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| Year/Month | 1990/4 |
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| Article | 原著 |
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| Publisher | 日本核医学会 |
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| Abstract | 「要旨」 心臓カテーテル検査の合併症の一つである肺血栓塞栓症の発生頻度は, 成人では12〜40%といわれているが, 小児での報告は少ない. 今回われわれは, 小児先天性心疾患患者50例に心臓カテーテル検査前後で肺血流シンチを, 41例に肺換気シンチを施行し, その発生について検討した. その結果, 6例に心カテ前には認めなかった血流欠損を心カテ後に認め, 3例は同時に換気欠損もみられた. いずれも心カテ検査による合併症としての肺血栓塞栓症と考えられた. |
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| Practice | 臨床医学：一般 |
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| Keywords | Cardiac catheterization, Pulmonary thromboembolism, Pulmonary perfusion scintigraphy, Ventilation scintigraphy |
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| English |
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| Title | Pulmonary Perfusion and Ventilation Scintigraphies before and after Cardiac Catheterization in Infants with Congenital Heart Diseases |
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| Subtitle | Original Articles |
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| Authors | Shigeki NAGAMACHI*, Seishi JINNOUCHI*, Hiroaki HOSHI*, Takashi OHNISHI*, Shigemi FUTAMI*, Katsushi WATANABE*, Yuji MATSUOKA** |
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| Authors(kana) | |
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| Organization | *Department of Radiology, **Department of Pediatrics, Miyazaki Medical College |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 27 |
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| Number | 4 |
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| Page | 341-347 |
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| Year/Month | 1990/4 |
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| Article | Original article |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| Abstract | [Summary] We performed 99mTc-MAA pulmonary perfusion scintigraphies before and after catheterization in 50 infants with congenital heart disease. 81mKr ventilation scintigraphies were also performed in 41 patients. Both right and left heart catheterization (23 patients) and right heart catheterization (27 patients) were performed by Seldinger's method. Pulmonary perfusion scintigraphies showed new perfusion defects in 6 patients (12%) following catheterization. Of six patients, three had ventilation defects. Clinical characteristics, duration of catheterization, hemodynamic variables were not significantly different between patients with and without lung perfusion defects. The lung perfusion defects seemed to be due to pulmonary embolism following cardiac catheterization. |
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| Practice | Clinical medicine |
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| Keywords | Cardiac catheterization, Pulmonary thromboembolism, Pulmonary perfusion scintigraphy, Ventilation scintigraphy |
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