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February 02, 2010

ステント型レスピレーター?


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<三重大病院>過失認定 国に6千万円賠償命令

毎日新聞 01月28日14時14分
 病院が適切な治療を怠ったため長男(当時3歳)が手術後に低酸素脳症になり5年後に死亡したとして、三重県松阪市の父親(36)らが、三重大医学部付属病院を当時運営していた国を相手取り、長男が生きていれば稼いだであろう収入や慰謝料計約1億2600万円を支払うよう求めた訴訟の判決が28日、津地裁であった。堀内照美裁判長は、約6000万円を支払うよう国に命じた。

 堀内裁判長は「医師の注意義務違反による酸素供給の低下が低酸素脳症を招いた」と指摘。その後遺症による肺炎を併発し5年後に死亡したことについての因果関係も認めた。

 長男は1997年3月、同病院で、大動脈が食道や気管を取り囲んで圧迫する疾患「血管輪」と診断され、99年9月に手術を受けた。術後、脳に障害が残る低酸素脳症に陥り、四肢が動かない寝たきりの状態になった。2004年5月には肺炎を併発し、死亡した。

 父親らは、手術で人工呼吸器を気管に入れるのに手間取ったため低酸素血症になり、さらに採血したことで脳への酸素運搬能力を低下させたと病院側の過失を主張していた。

 国側は「医師の医療行為に過失はなかった」と反論していた。【福泉亮、大野友嘉子】
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>手術で人工呼吸器を気管に入れるのに手間取った

こちらも修正してない。いいぞ,変態タブロイド。

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Comments

確かに手間取りますよね。
入れたは良いが除去するのも大変そうです。

Posted by: キケロ | February 03, 2010 at 11:05 AM

ステントの中にプロペラがあって,吸気と呼気とで逆回転するのでしょう。動力の問題もさることながら,自発をアシストするのって難しそう。

Posted by: 管理人 | February 04, 2010 at 12:45 AM

>ステント型レスピレーター
いろいろな医療系ブログで取り上げられていますが、気管ステントという発想は、さすがです。

Posted by: 麻酔科医 | February 04, 2010 at 07:29 PM

ありがとうございます。

Posted by: 管理人 | February 04, 2010 at 09:36 PM

 非接触で外部から電力を供給しましょう。酸素透過高分子薄膜を通過させることにより酸素濃度を上げて、ポンプ部分は、プロペラ式だと吸気時にどこまで圧を稼ぐことができるかという問題がありますが、呼気時にはある程度エネルギーを回生できそうですね。小型で圧を得るには、ダイヤフラムポンプ(金魚のエアーポンプみたいなやつ)が良いかも知れません。制御のため、酸素センサー、流量センサー、圧センサーも必要ですね。
 現状では、小型化のためにはポンプ部分がネックになると思います。分子レベルで物体の移動をコントロールできるようなデバイスがあれば、酸素の選択とポンプの働きを同時に行えます。
 30年後くらいに実用化できないとも限らないので、新聞の人に先を越されないうちに、特許を申請しては?

Posted by: kame | February 14, 2010 at 06:34 AM

体温が室温程度まで下がったら電源offとなるように,温度センサーも必要でしょう。
ミイラが呼吸していると怖いです。

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