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  1. 学術雑誌論文
  2. 琉球医学会
  3. 琉球医学会誌
  4. 26巻3・4号
  1. 部局別インデックス
  2. その他

[総説]当科における感染性大動脈瘤手術症例の検討

http://hdl.handle.net/20.500.12000/0002015562
http://hdl.handle.net/20.500.12000/0002015562
1501738f-d3ed-47d2-8956-ae3561ba510f
名前 / ファイル ライセンス アクション
v26p99.pdf v26p99.pdf
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
作成者 山城, 聡

× 山城, 聡

ja 山城, 聡

前田, 達也

× 前田, 達也

ja 前田, 達也

中村, 修子

× 中村, 修子

ja 中村, 修子

喜瀬, 勇也

× 喜瀬, 勇也

ja 喜瀬, 勇也

上原, 協

× 上原, 協

ja 上原, 協

上原, 忠大

× 上原, 忠大

ja 上原, 忠大

稲福, 斉

× 稲福, 斉

ja 稲福, 斉

仲栄真, 盛保

× 仲栄真, 盛保

ja 仲栄真, 盛保

兼城, 隆雄

× 兼城, 隆雄

ja 兼城, 隆雄

盛島, 裕次

× 盛島, 裕次

ja 盛島, 裕次

永野, 貴昭

× 永野, 貴昭

ja 永野, 貴昭

新垣, 勝也

× 新垣, 勝也

ja 新垣, 勝也

平安, 恒男

× 平安, 恒男

ja 平安, 恒男

國吉, 幸男

× 國吉, 幸男

ja 國吉, 幸男

Yamashiro, Satoshi

× Yamashiro, Satoshi

en Yamashiro, Satoshi

Maeda, Tatsuya

× Maeda, Tatsuya

en Maeda, Tatsuya

Nakamura, Syuko

× Nakamura, Syuko

en Nakamura, Syuko

Kise, Yuya

× Kise, Yuya

en Kise, Yuya

Uehara, Kanou

× Uehara, Kanou

en Uehara, Kanou

Uehara,Tadafumi

× Uehara,Tadafumi

en Uehara,Tadafumi

Inafuku, Hisashi

× Inafuku, Hisashi

en Inafuku, Hisashi

Nakaema, Moriyasu

× Nakaema, Moriyasu

en Nakaema, Moriyasu

Kaneshiro, Takao

× Kaneshiro, Takao

en Kaneshiro, Takao

Morishima,Yuji

× Morishima,Yuji

en Morishima,Yuji

Nagano, Takaaki

× Nagano, Takaaki

en Nagano, Takaaki

Arakaki, Katsuya

× Arakaki, Katsuya

en Arakaki, Katsuya

Hirayasu, Tuneo

× Hirayasu, Tuneo

en Hirayasu, Tuneo

Kuniyoshi, Yukio

× Kuniyoshi, Yukio

en 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
言語 en
主題Scheme Other
主題 omental wrapping
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.
内容記述タイプ Other
内容記述 論文
出版者
言語 ja
出版者 琉球医学会
言語
言語 jpn
資源タイプ
資源タイプ journal article
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
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
収録物識別子タイプ ISSN
収録物識別子 0289-1530
収録物識別子タイプ NCID
収録物識別子 AN10369445
収録物名
言語 ja
収録物名 琉球医学会誌 = Ryukyu Medical Journal
書誌情報
巻 26, 号 3・4, p. 99-104
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