術後腎不全--教室〔昭和大学外科学教室〕例を中心として

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We have experienced 64 Patients complicated with postoperative renal failure for last 14 years and there are only 12 survivers in 44 patients who are treated with the dialysis therapy.<BR>Acute renal failure following any surgical procedure is a severe postoperative complication and a poor prognosis because of life threatening complications of renal failure including sepsis, gastrointestinal hemorrhage, congestive heart failure and others.<BR>Twenty-nine (45%) out of 64 cases were seen in the choledoco-pancreatic surgery and almost of them were surgical hepatorenal syndrome.<BR>Postoperative renal failure has occured highly in a case who has a preoperative renal dysfunction or in elderly patient, so in such a case it is important to have a consideration of possibility of renal failure in the postoperative management.<BR>We should be made an effort to prevent of postoperative renal failure because of poor prognosis but once the renal failure is suspected in early postoperative stage, the messurement of urinary osmotic pressure is valuable to have an early diagnosis.
学校法人昭和大学・昭和医学会の論文