Japanese
Title破裂性腹部大動脈瘤の検討
Subtitle
Authors堀部まゆみ*, 和泉博通*, 山野上敬夫*, 望月高明**, 伊村郁夫**, 土谷太郎**
Authors(kana)
Organization*あかね会土谷総合病院麻酔科, **あかね会土谷総合病院心臓血管外科
Journal循環制御
Volume9
Number4
Page503-508
Year/Month1988/
Article原著
Publisher日本循環制御医学会
Abstract昭和58年6月から62年3月までに経験した破裂性腹部大動脈瘤16例を集計し, 検討を加えた. 術前よりショック状態を呈していた症例が11例あり, 手術死亡4例はすべてショック状態であった. 術前ショックの有無が術中, 術後管理, 予後に及ぼす影響は大きいと思われた. ショック遷延例, 術前よりの腎機能低下例の計3例に術後腎不全を合併した. 腎不全の合併は術後経過を長引かせる要因となり, 術中から安定した循環動態を得ることが必須と考えられた.
Practice基礎医学・関連科学
Keywords
English
TitleRuptured abdominal aortic aneurysm
Subtitle
AuthorsMayumi Horibe*, Hiromichi Izumi*, Takao Yamanoue*, Takaaki Mochizuki**, Ikuo Imura**, Taro Tsuchiya**
Authors(kana)
Organization*Department of anesthesia, Akane Foundation Tsuchiya General Hospital, **Department of cardiovascular surgery, Akane Foundation Tsuchiya General Hospital
JournalCirculation Control
Volume9
Number4
Page503-508
Year/Month1988/
ArticleOriginal article
PublisherJapan Society of Circulation Control
AbstractWe were experienced 16 cases of ruptured abdominal aortic aneurysms from 1983 to 1987, and studied the perioperative man agement of those retrospectively. Eleven patients were in shock before surgery, and four of them died. There were no operative death who were not in shock. The factor whether patients were in shock or not affected intra and postoperative management, their course and the mortality. Post operative renal failure occured in 3 patients, who were in prolonged shock, or suspected to have been in renal dysfunction before surgery. Renal failure was the most unfavorable prognostic factor. We reccomended to get the stable hemodynamics by optimal fluid infusion and blood transfusion.
PracticeBasic medicine
Keywords

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