海外マルファン情報

米国マルファン症候群患者団体The Marfan Foundationからの情報を中心に、マルファン症候群や関連疾患についての海外情報を翻訳して発信します。

心臓手術後の合併症について


Aortic Root Surgery in Connective Tissue Conditions - Surgery Series (2/10/21)

 

48:50-50:09

 

Q:
Anyway during that post-surgery time what are the complicated, what are potential complications? What do you say if there are complications?

術後の合併症としてはどのようなものがありますか?

 

A:
You know, most of the really dangerous stuff is gonna happen during the hospital stay. You know, we don't let people out of the hospital unless we think it's safe to do so but sometimes we see that ,you know, it's a big trauma to your chest wall and into your body and you can have some inflammation so sometimes some fluid will collect in the spaces in your chest like next to a lung or even in the space around your heart we call that an effusion and that can make you short of breath and that that may need to be drained, treated with some medicine.

重篤な合併症の大部分は手術を終えて病院にいる間に起きますので、こちらが安心できるまでは病院にいていただきます。手術では胸部を大きく切開することになりますので、炎症が起きることがあります。また、心臓や肺の回りに体液が溜まることで息切れが生じることがありますので、排液や薬による治療が必要な場合もあります。

 

The other thing is abnormal heart rhythm so atrial fibrillation is really common after any surgery in the chest including, you know, esophagus and lung and that's because the heart's kind of irritable from us being there is the way I think about it.

それ以外の合併症として、心房細動が多くみられます。食道や肺を含め胸部の手術全般で起こります。心臓含めその周辺での手術になりますので、心臓の拒否反応によるものと考えられます。

 

Usually atrial fibrillation happens within the first couple days that the peak incidence is day two after surgery but some people they didn't have any afib and then they go home and they get afib and that's what we always call it atrial fibrillation afib, it might happen a week or two later and what you might feel is palpitations or a racing heart and if that heart rate's really fast it's something that needs to be addressed and can be treated with medicine.

通常、心房細動は術後数日以内に起きます。術後2日目が発症のピークですが、発症せずに退院される方もいますし、術後一週間経過した後で起きる方もいます。動悸が自覚症状ですが、心拍数が高すぎる場合には、薬による治療を行うこともあります。

 

The Marfan Foundation did not participate in the translation of these materials and does not in any way endorse them. If you are interested in this topic, please refer to our website, Marfan.org, for materials approved by our Professional Advisory Board.

The Marfan Foundation は、当翻訳には関与しておらず、翻訳内容に関してはいかなる承認も行っておりません。このトピックに興味をお持ちの方は、Marfan.org にアクセスし、当協会の専門家から成る諮問委員会が承認した内容をご参照ください。