2024-03-29T07:50:09Z
https://u-ryukyu.repo.nii.ac.jp/oai
oai:u-ryukyu.repo.nii.ac.jp:02016042
2022-10-31T07:49:12Z
1642838163960:1642838198944:1642838199408:1642838213598
1642838403551:1642838412624
[原著]Abdominal surgery in patients undergoing hemodialysis
Nakamura, Hiroki
Yara, Toshio
Shimoji, Hideaki
Miyasato, Hiroshi
Nakachi, Atsushi
Isa, Tsutomu
Hiroyasu, Shungo
Shiraishi, Masayuki
Muto, Yishihiro
abdominal surgery
hemodialysis
sepsis score
preoperative risk factor
Eighteen hemodialysis patients underwent 13 elective and 5 emergency operations. The 10 male and 8 female patients ranged in age from 38 to 81 years with an average age of 62.5 years. An average duration on hemodialysis was 3 years and 4 months. The main cause of chronic renal failure was chronic glomerulonephritis. The underlying diseases requiring abdominal surgery are commonly seen in any general hospital. Elective surgery patients were dialyzed within 24 hours of surgery, whereas emergency surgery patients could only be dialyzed after surgery. Retrospectively, the patients were categorized into two groups; survivors and nonsurvivors. The survivor group included two emergency surgery patients (appendectomy and choledochotomy) while the nonsurvivor group comprised one elective and three emergency surgery patients. Three of the four nonsurvivors died of sepsis secondary to intestinal anastomotic disruption. In conclusion, meticulous attention should be paid when anastomosing the intestine because of impaired wound healing and increased susceptibility to infection unique to chronic hemodialysis patients.
論文
http://purl.org/coar/resource_type/c_6501
琉球医学会
Ryukyu Medical Association
1999
VoR
1346888X
0289-1530
AN10369445
琉球医学会誌 = Ryukyu Medical Journal
2
19
63
59
eng
open access
琉球医学会