Abstract |
After open-heart surgery, we sometime experience a patient whose respiratory function worsens extremely, though a heart function is improved. We experienced four such cases and treated with high-dose methylprednisolone. Then, we recognized that the respiratory function was improved at all cases. However, one case deteriorated again regarding the respiratory function, as a start of the treatment was delayed. There is a possibility that host resistance to infection is decreased by administration of corticosteroids. Therefore, we hesitate to treat with corticosteroids. Concerning respiratory failure after open heart surgery, however, we think that a respiratory function of a patient is improved if high-dose methylprednisolone pulse therapy is started in early stage.
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Authors | H Kurata, I Yamazaki, M Ishii, Y Yano, M Kase, I Tomiyama |
Journal | Kyobu geka. The Japanese journal of thoracic surgery
(Kyobu Geka)
Vol. 50
Issue 4
Pg. 292-7
(Apr 1997)
ISSN: 0021-5252 [Print] Japan |
PMID | 9095589
(Publication Type: Case Reports, English Abstract, Journal Article)
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Chemical References |
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Topics |
- Aged
- Angina Pectoris
(surgery)
- Coronary Artery Bypass
- Drug Administration Schedule
- Humans
- Male
- Methylprednisolone
(administration & dosage)
- Middle Aged
- Postoperative Complications
(drug therapy)
- Respiratory Insufficiency
(drug therapy)
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