| Item type |
デフォルトアイテムタイプ（フル）(1) |
| 公開日 |
2010-02-23 |
| タイトル |
|
|
タイトル |
［総説］当科における感染性大動脈瘤手術症例の検討 |
|
言語 |
ja |
| タイトル |
|
|
タイトル |
Surgical Treatment of Infectious Aortic Aneurysm |
|
言語 |
en |
| 作成者 |
山城, 聡
前田, 達也
中村, 修子
喜瀬, 勇也
上原, 協
上原, 忠大
稲福, 斉
仲栄真, 盛保
兼城, 隆雄
盛島, 裕次
永野, 貴昭
新垣, 勝也
平安, 恒男
國吉, 幸男
Yamashiro, Satoshi
Maeda, Tatsuya
Nakamura, Syuko
Kise, Yuya
Uehara, Kanou
Uehara,Tadafumi
Inafuku, Hisashi
Nakaema, Moriyasu
Kaneshiro, Takao
Morishima,Yuji
Nagano, Takaaki
Arakaki, Katsuya
Hirayasu, Tuneo
Kuniyoshi, Yukio
|
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 権利情報 |
|
|
言語 |
ja |
|
権利情報 |
琉球医学会 |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
infectious aortic anwurysm |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
omental wrapping |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
postoperativegraft infection |
| 内容記述 |
|
|
内容記述タイプ |
Other |
|
内容記述 |
Objectives; The surglcal results of infectious aortic aneurysm are still unsatisfactory because the operation is usually performed on an emergency basis while the patient is in a state of sepsis or shock from aneurismal rupture. Furthermore, patients face the risk of postoperative graft infection even if the operation is successful. Although various operative procedures and devices for preventing postoperative graft infection have been reported, there is no definitive method of preventing such postoperative infectious complications. Patients and methods; Seventeen patients of infectious aortic aneurysm were treated surgically between January 1995 and April 2007. Five of the 17 patients with infectious aortic aneurysm were female and 12 were male; their ages ranged from 39 to 83 years, with a mean of 66.2years. The aneurysms were located in ascending aorta in 1 patient, aortic arch in 1, descending aorta in 6, thoracoabdominal aorta in 5, and infrarenal abdominal aorta in4. Preoperatively, 3 patients were in shock due to rupture of the aneurysm. One of those 3 patients suffered cardiac arrest just before the operation. The diagnoses of infectious aortic aneurysm were established before operation in 15 patients. Underlying disorders related to infectious aortic aneurysm were history of surgical excisions for malignancy in 5 patients. All patients underwent complete resection of their infectious aneurismal wall with surrounding infectious tissue and in-situ graft placementIn12patients,the replace graft was covered with a pedicled omental. flap to prevent postoperative graft infection. after packing with sponges soaked in 10% iodine solution for 48 hours lately. Results; There were 3 hospital deaths (hospital mortality, 17.6%); one patient died of multi-organ failure, one patient died from intrathoracic bleeding, and the other died from intestinal necrosis. After discharge, one patient died from intrathoracic bleeding due to graft infection (infection related death). The other 3 patients died from non－infection related causes during follow-up period. These 4 patients died at postoperative long-term period had not received omental wrapping．Postoperative graft infection have not occurred in 9 survivlng patients during a mean followup period of 6.3+/- 4.3years. with a maximum of 11.2years. Conclusion; These results suggest that coverlng the prosthetic graft with a pedicled omental flap may help prevent postoperative graft infection and improve the surglcal results. |
| 内容記述 |
|
|
内容記述タイプ |
Other |
|
内容記述 |
論文 |
| 出版者 |
|
|
出版者 |
琉球医学会 |
|
言語 |
ja |
| 出版者 |
|
|
出版者 |
Ryukyu Medical Association |
|
言語 |
en |
| 言語 |
|
|
言語 |
jpn |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
1346-888X |
| 収録物識別子 |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
0289-1530 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AN10369445 |
| 収録物名 |
|
|
収録物名 |
琉球医学会誌 = Ryukyu Medical Journal |
|
言語 |
ja |
| 書誌情報 |
巻 26,
号 3・4,
p. 99-104,
発行日 2007
|
v26p99.pdf
