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'https://openalex.org/W2013493472', 'https://openalex.org/W2068274291', 'https://openalex.org/W2091478161', 'https://openalex.org/W2097904287', 'https://openalex.org/W2119133622', 'https://openalex.org/W2142840039', 'https://openalex.org/W2163627897', 'https://openalex.org/W2395242544', 'https://openalex.org/W4240037174'], 'related_works': ['https://openalex.org/W4367019604', 'https://openalex.org/W4321608534', 'https://openalex.org/W4307036623', 'https://openalex.org/W4289537249', 'https://openalex.org/W3165523010', 'https://openalex.org/W3122461214', 'https://openalex.org/W3009128696', 'https://openalex.org/W2120501814', 'https://openalex.org/W2052231688', 'https://openalex.org/W2020356248'], 'abstract_inverted_index': {'経皮的気管切開術は,簡便かつ迅速に気管切開を行うことができるが,皮下気腫,縦隔気腫,気胸など気腫合併症を起こすことが報告されている。我々は経皮的気管切開術を行い,大量の皮下気腫,縦隔気腫,および気胸を合併した1例を経験し,その合併症の予防策について考察したので報告する。症例は急性硬膜下血腫,脳挫傷,肺挫傷の56歳の女性で,呼吸状態が安定し人工呼吸器より離脱後,経口気管チューブを抜管したが,その後呼吸障害が出現したため再挿管した。再挿管翌日にBlue': [0], 'Rhino法により経皮的気管切開術を行ったが,術中に経口気管チューブを先に抜去してしまい,術直後から頸部と前胸部に大量の皮下気腫,縦隔気腫,右気胸を認めた。術中の不十分な上気道確保と気管切開チューブ挿入操作中に頸部の皮膚切開部がチューブにより閉塞したため,咳嗽で生じた高圧の呼気が排出されず,気管切開部より皮下に進入して気腫が発生したと考えられた。Blue': [1], 'Rhino法は気管穿刺部を拡張し気管切開チューブを挿入する際に気道確保が不十分であると,咳嗽反射等により気道内圧の上昇を起こしやすい。適切な鎮静や気管切開チューブ挿入完了まで経口気管チューブを抜去せずに術中の気道を確保することが,気腫合併症回避に重要であると思われた。': [2]}, 'cited_by_api_url': 'https://api.openalex.org/works?filter=cites:W350955934', 'counts_by_year': [{'year': 2022, 'cited_by_count': 1}], 'updated_date': '2024-09-14T19:33:41.473981', 'created_date': '2016-06-24'}