The Influence of Preexistent Renal Failure on the Prognosis Following Ruptured Abdominal Aortic Aneurysms.
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概要
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Purpose : The aim was to verify the relation between renal failure (RF) and prognosis following surgery for ruptured abdominal aortic aneurysm (RAAA).<BR>Methods : Among thirty-nine patients were diagnosed as having an RAAA and 33 patients received graft replacement. Perioperative factors were compared between non-survivors and survivors in patients receiving graft replacement.<BR>Results : The mortality rate was 38% (15/39) in all patients and 27% (9/33) in patients receiving graft replacement. The preoperative serum creatinine (Cr) level was significantly (p<0.05) higher (2.3±0.5 vs 1.3±0.1 mg/dl) and systolic BP on arrival was significantly lower (71.7±5.3 vs 93.4±6.6 mmHg) in non-survivors than in survivors, respectively. There were significantly more patients with past cardiopulmonary resuscitation in non-survivors (4/9) than in survivors (1/24). The amount of intraoperative urine volume were significantly smaller in non-survivors (98±28 ml/hr) than in survivors (156±23). Postoperative renal failure which required hemodialysis was significantly more frequent in non-survivors (4/9) than in survivors (0/24).<BR>Conclusions : RF was associated with the prognosis following surgery for RAAA. The level of preoperative Cr would be a predictive marker.
- 北関東医学会の論文
著者
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Kaneko Tatsuo
Division of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center
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Kaneko Tatsuo
Division Of Cardiovascular Surgery Gunma Prefectural Cardiovascular Center
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Shibasaki Ikuko
Division Of Cardiovascular Surgery Gunma Prefectural Cardiovascular Center
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SATO Yasushi
Division of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center
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Ishikawa Susumu
Second Department Of Surgery Gunma University Graduate School Of Medicine
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Murai Noriyuki
Division Of Gastroenterological And General Surgery Department Of Surgery Showa University School Of
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Morishita Yasuo
Second Department Of Surgery
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Sato Yasushi
Division Of Biotechnology And Macromolecular Chemistry Graduate School Of Engineering Hokkaido Unive
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Ogata Toshiro
Division of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center
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Obayashi Tamiyuki
Division of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center
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Kaki Nobuaki
Division of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center
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Murai Noriyuki
Division of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center
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