<原著>人工透析中の子宮頸癌手術

概要

論文の詳細を見る
As the hemodialytic therapy has been improved, the life-span of the patients with chronic renal failure is elongated. Accordingly the operations for gynecologic diseases are expected to be more frequently performed. In case of operation of the patient under hemodialysis particular attention on the serum electrolyte and BUN must be paid because of the renal insufficiency. In this communication the authors report the experience of vaginal hysterectomy for carcinoma cervicis (stage Ia) found on a patient under hemodialysis. Hypertension, anemia, hyperkalemia, acidosis, bleeding tendency and azotemia were improved before the operation and vaginal hysterectomy was performed under continuous epidural anesthesia. During and after the operation the elevations of BUN and serum K, and appearance of bleeding tendedncy were carefully watched. In this case, despite the hemodialysis was performed on the day before the operation, serum K elevated to 7.3mEq/L and ECG showed tenting T on the first day after the operation. The elevation of serum K was lowered by the employment of cation exchange resin and hemodialysis. Thus the elevation of BUN and serum K is thought to be induced in early post operative stages and strict management should be required on these patients.
近畿大学の論文
1977-12-25