@article{oai:u-ryukyu.repo.nii.ac.jp:02016042, author = {Nakamura, Hiroki and Yara, Toshio and Shimoji, Hideaki and Miyasato, Hiroshi and Nakachi, Atsushi and Isa, Tsutomu and Hiroyasu, Shungo and Shiraishi, Masayuki and Muto, Yishihiro}, issue = {2}, journal = {琉球医学会誌 = Ryukyu Medical Journal}, month = {}, note = {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}, pages = {59--63}, title = {[原著]Abdominal surgery in patients undergoing hemodialysis}, volume = {19}, year = {1999} }