書誌事項
- タイトル別名
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- Postoperative complications and hospital mortality in chronic dialysis patients undergoing coronary artery bypass graft surgery
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We compared 38 chronic dialysis patients undergoing CABG between 2000 and 2003 with 231 other CABG patients who didn't have renal failure. Main concern was postoperative complication and hospital mortality. All patients except for those who had emergency operations were dialysed for two consecutive days before operation. In most instances, intraoperative hemodialysis could be avoided by correcting water and electrolyte imbalance properly by using extracorporeal ultrafiltration method (ECUM). In the postoperative period, when the circulatory conditions were stable, HD was started the day after the operation with no immediate postoperative hemorrhagic complications. When the circulatory conditions were unstable, we used continuous hemofiltration (CHF). Chronic dialysis patients undergoing CABG compared with non-dialysis CABG patients had an increased risk of postoperative mediastinitis, but didn't have that of postoperative reexploration due to bleeding and cerebral infarction. Hospital mortality was 15.8% in the dialysis group. The cause of their death was mainly sepsis. For the improvement of the results we have to pay more attention to the care of dialysis patients.
収録刊行物
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- 日本集中治療医学会雑誌
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日本集中治療医学会雑誌 12 (4), 401-406, 2005
一般社団法人 日本集中治療医学会
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詳細情報 詳細情報について
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- CRID
- 1390001204444546944
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- NII論文ID
- 130003441446
- 10017239629
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- NII書誌ID
- AN10474053
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- ISSN
- 1882966X
- 13407988
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可