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Patients operated in emergency or dead within 24 hours after operation or with preoperative renal failure were excluded and remaining 65 patients were studied for factors affecting postoperative renal dysfunction. Postoperative renal dysfunction was based on the serum creatinine value which was within normal limit before operation and exceeded 1.5mg/dl after operation, or which increased by 1mg/dl and more from preoperative value. 23 patiens developed postoperative renal dysfunction and the incidence was 35.4%. As preoperative factors, old age, male and high value of preoperative serum creatinine were significantly (p\u003c0.01) related with postoperative renal dysfunction. As intraoperative factor, decreased urine output per operative hour was significantly (0.01\u003cp\u003c0.05) related. 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胸部大動脈瘤術後の腎機能障害発生に関与する因子の検討
https://doi.org/10.24517/00051361
https://doi.org/10.24517/0005136140cdc381-908c-4848-a53e-ec888201d310
名前 / ファイル | ライセンス | アクション |
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ME-PR-IWA-T-319.pdf (915.0 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2018-07-05 | |||||
タイトル | ||||||
タイトル | 胸部大動脈瘤術後の腎機能障害発生に関与する因子の検討 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Study of Factors Related to Renal Dysfunction Following Operation for Thoracic Aortic Aneurysm | |||||
言語 | ||||||
言語 | jpn | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
ID登録 | ||||||
ID登録 | 10.24517/00051361 | |||||
ID登録タイプ | JaLC | |||||
著者 |
浦山, 博
× 浦山, 博× 渡辺, 洋宇× 岩, 喬 |
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著者別表示 |
Urayama, Hiroshi
× Urayama, Hiroshi× Watanabe, Yoh× Iwa, Takashi |
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提供者所属 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 金沢大学医薬保健研究域医学系 | |||||
書誌情報 |
日本心臓血管外科学会雑誌 en : Japanese Journal of Cardiovascular Surgery 巻 18, 号 3, p. 319-324, 発行日 1988 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0285-1474 | |||||
NCID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AN00193284 | |||||
DOI | ||||||
関連タイプ | isIdenticalTo | |||||
識別子タイプ | DOI | |||||
関連識別子 | 10.4326/jjcvs.18.319 | |||||
出版者 | ||||||
出版者 | 日本心臓血管外科学会 = The Japanese Society for Cardiovascular Surgery | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | During past 15 years 78 patients were operated for thoracic aortic aneurysm. Patients operated in emergency or dead within 24 hours after operation or with preoperative renal failure were excluded and remaining 65 patients were studied for factors affecting postoperative renal dysfunction. Postoperative renal dysfunction was based on the serum creatinine value which was within normal limit before operation and exceeded 1.5mg/dl after operation, or which increased by 1mg/dl and more from preoperative value. 23 patiens developed postoperative renal dysfunction and the incidence was 35.4%. As preoperative factors, old age, male and high value of preoperative serum creatinine were significantly (p<0.01) related with postoperative renal dysfunction. As intraoperative factor, decreased urine output per operative hour was significantly (0.01<p<0.05) related. Other preoperative factors; hypertension, diabetes, location of aneurysm, dissecting and nondissecting, intraoperative factors; operation time, volume of operative bleeding, minimum systolic blood pressure during operation, clamping time of aorta, minimum temperature of rectum, difference of adjuncts (temporary shunt or extracorporeal circulation), postoperative factors; systolic blood pressure at arriving ICU, urine output of first postoperative day were not significantly related. Between the operative procedures of graft replacement and extraanatomic bypass, no significant difference was recognized in occurrence of postoperative renal dysfunction, but patients with patch angioplasty etc. developed no renal dysfunction. In the complications within one week after operation, central nervous system dysfunction, infection and hemorrhage had a tendency to occur together with renal dysfunction. For prevention of postoperative renal dysfunction it is important to minimize the renal ischemia, to protect the kidney and to maintain urine output during operation, particularly in patients of preoperative decreased function of kidney and of old male with advanced arteriosclerosis. Also it is necessary to choose the less invasive procedure of operation for patients of severely decreased function of kidney and to consider about organ system relations in patients of postoperative renal dysfunction. | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | 過去15年間に手術を施行した胸部大動脈瘤78例中,緊急手術例等を除く65例を対象として術後腎機能障害に関与する因子を検討した.術後腎機能障害は術前正常値で術後血清Cr値1.5mg/dl以上もしくは術前値より1mg/dl以上の上昇としたが,症例中23例,35.4%に発生した.術前因子としては高齢者,男性,術前血清Cr値高値が有意(p<0.01)であり,術中因子としては術中時間尿量減少が有意(0.01<p<0.05)であった.術前因子としての高血圧,糖尿病,動脈瘤の範囲,解離性と非解離性,術中因子としての手術時間,術中出血量,術中最低収縮期血圧,大動脈遮断時間,術中最低直腸温,補助手段の違い(一時シャントと体外循環),術後因子としてのICU帰室時の収縮期血圧,術第一病日の尿量と術後腎機能障害の発生に有意差は認めなかった.手術術式では人工血管置換とextraanatomic bypassの間に有意差を認めなかったが,patch閉鎖等の術式では術後腎機能障害の発生はなかった. | |||||
権利 | ||||||
権利情報 | Copyright © 日本心臓血管外科学会 The Japanese Society for Cardiovascular Surgery | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
関連URI | ||||||
識別子タイプ | URI | |||||
関連識別子 | https://www.jstage.jst.go.jp/browse/jjcvs/-char/ja/ | |||||
関連名称 | https://www.jstage.jst.go.jp/browse/jjcvs/-char/ja/ | |||||
関連URI | ||||||
識別子タイプ | URI | |||||
関連識別子 | http://jscvs.umin.ac.jp/index.html | |||||
関連名称 | http://jscvs.umin.ac.jp/index.html |