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イチバ シンゴ
Ichiba Shingo
市場 晋吾 所属 医学部 医学科（東京女子医科大学病院） 職種 教授 |
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| 論文種別 | 症例報告 |
| 言語種別 | 英語 |
| 査読の有無 | 査読あり |
| 表題 | Successful extracorporeal life support for life-threatening hypercapnia with bronchiolitis obliterans after allogeneic hematopoietic stem cell transplantation. |
| 掲載誌名 | 正式名：Acta medica Okayama 略 称：Acta Med Okayama ISSNコード：0386300X/0386300X |
| 掲載区分 | 国内 |
| 巻・号・頁 | 65(6),pp.403-406 |
| 著者・共著者 | Waseda Koichi, Tanimoto Yasushi, Ichiba Shingo, Miyahara Nobuaki, Murakami Toshi, Ochi Nobuaki, Terado Michihisa, Nagano Osamu, Maeda Yoshinobu, Kanehiro Arihiko, Ujike Yoshihito, Tanimoto Mitsune |
| 発行年月 | 2011/12 |
| 概要 | Bronchiolitis obliterans (BO) is a disease with a poor prognosis, and a key factor that limits long-term survival after allogeneic hematopoietic stem cell transplantation (HSCT). We here report a case of a 31-year woman with acute lymphatic leukemia, which was treated by chemotherapy and HSCT, and consequently developed BO 2 years after HSCT. A non-tuberculous mycobacterial infection occurred and showed gradual exacerbation. She started taking anti-mycobacterial drugs, but lost appetite, felt tired and finally lost consciousness one month after beginning medication. Arterial blood gas revealed marked hypercapnia. Using extracorporeal life support (ECLS), the carbon dioxide concentration was reduced and her consciousness recovered. To our knowledge, this is the first case in which ECLS was successfully used for hypercapnia in a patient with BO. |
| DOI | 10.18926/AMO/47266 |
| PMID | 22189481 |