泌尿器科手術における大血管損傷例
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概要
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Here are reported the three instructive cases of a ccidental injuries of the great vessels experienced on the urological operations. Case 1 : A woman, 63-Y e ar-old, underwent right nephrectomy on account of pyonephrosis with stone and renocutaneous fistula. The right kidney was so densely adherent to the Vena cava that a part of which was removed in spite of the careful blunt dissection_ The patient died of acute cardiac insufficiency1 6 hours postoperatively. Case 2 A man, 44-year-old,h ad left nephrectomy because of left pyonephrosis with stones. Renal pedicle vessels were found to be branched extrarenally. When the upper portion of these vessels were ligated and cut, the serious arterial hemorrhage took place from the adjuscent artery. The wound was pressed by packing gauzes and blood transfusion was made energetically. As blood pressure was recovered from 50 to 100mm Hg, the packing was removed and the pedicle was successfully clamped in a hurry. Case 3 A man. 27-year-old,h ad the cleaning operation of the p oorly healing wound after right ureterolithotomy and the external iliac vein was longitudinally injured. Anatomical orientation of this vessel was difficult on accout of dislocation and adhesion due to the previous operation. Hemorrhage was stopped by pressing the thigh and this woundedv ein was easiliy resutured. It is not o rious fact that urologists should be careful not to injure the great vessels because urogenital organs are closely located to the important great vessels.
- 泌尿器科紀要刊行会の論文
泌尿器科紀要刊行会 | 論文
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