慢性腎透析患者の消化器外科手術周術期の留意点

• 菊池 美奈子

  横浜市立大学第2外科

• 渡会 伸治

  横浜市立大学第2外科

• 国崎 主税

  横浜市立大学第2外科

• 簾田 康一郎

  横浜市立大学第2外科

• 嶋田 紘

  横浜市立大学第2外科

書誌事項

タイトル別名

• PERIOPERATIVE RISK FACTORS OF HEMODIALYSIC PATIENTS IN GASTROINTESTINAL SURGERY

抄録

Chronic dialysic patients usually have a high rate of surgical mortality and morbidity. Twenty-six dialysis patients were investigated to identify risk factors that the incidence of postoperative complications and death present before, during, and after the operation. Fifteen patients (57.7%) had postoperative complications and 3 (11.5%) patients died after the operation. Patients with a Prognostic Nutritional Index (PNI) value equal to or less than 40 had significantly more postoperative complications. Patients who had taken steroids before the operation and had serum a BUN level equal to or over 50 (mg/dl) one day before the operation, intraperitoneal infections, anastomotic leakages after the operation, serum BUN equal to or over 70 (mg/dl), and serum total protein equal to or under 4.0 (g/dl) one day after operation had significantly higher postoperative mortality. When these risk factors are present, reduction of the operation or selection of non-operative treatment should be considered.

収録刊行物

• 日本臨床外科学会雑誌

  日本臨床外科学会雑誌 59 (11), 2740-2746, 1998

  日本臨床外科学会

キーワード

• 腎透析患者
• 消化器外科手術
• 周術期合併症

詳細情報

• CRID: 1390001204850010240
• NII論文ID: 10008437074
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.59.2740
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/59/11/59_11_2740/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/1999100735
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可