大動脈りゅう切除１０例の検討

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書誌事項

タイトル別名
  • THE STUDY OF AORTIC ANEURYSM RESECTION CASES FOR 5 YEARS
  • ダイドウミャクリュウ セツジョ 10レイ ノ ケントウ
公開日
1982
DOI
  • 10.11261/iryo1946.36.805
公開者
一般社団法人 国立医療学会

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説明

The surgical department of Zentsuji National Hospital has treated a total of 90 vascular cases from April 1976 till May 1981, which are classified into the following three groups. The first is 15 aortic diseases including 10 aortic aneurysms.<br>The second is 19 peripheral artery diseases. The third is 56 following cases; distal spleno-renal shunt operation upon portal hypertension, shunt operation of left adrenal-middle colic vein upon the recrudesce of brest cancer, and surgical treatment to varix of legs.<br>In this study, we have chosen 10 cases of the aortic aneurysm out of these 90 cases. 9 cases were the aneurysms of the abdominal aorta located below the diverging point of renal arteries and none of them was ruptured. 1 case was an aneurysm of the thora-coabdominal aorta, and this is the first successful case of Crawford operation in Japan. Male and female patients were in the ratio of 9:1, and their age was from 55 to 76. The highest number of chief complaints were abdominal tumors with pulsation, and the others were abdominal pain and abdominal distension, etc.<br>As for the operative method, we replaced with Y-typed artificial blood vessels in all cases of aneurysms of the abdominal aorta. Though we used to cut off the sacks, recently we embed artificial blood vessels into the sacks. In one case of aneurysm of the thora- coabdominal aorta, we intraluminally reconstructed the blood circulation according to Crawford type II operative method.<br>The operative mortality were 2 cases of aneurysms of the abdominal aorta; one patient lost on the fourth day after operation under our diagnosis of myocardial infarction and the other lost on the fifth day under our suspicion of dissecting aneurysm of the aorta. One of the other 8 cases lost of the different disease (gastric cancer) but seven including one case of an aneurysm of the thoracoabdominal aorta are now all in good health; the longest is 4 years and 5 months.<br>In addition we report the following fact. Because the radionuclide aortography, noninvasive diagnostic technique, is useful in treating the aortic aneurysms, we make use of this method (using Searle LFOV, and 99mTO4 or 99mTc-albumin 15-20 mci as radioisotope) in the diagnosis of the aortic aneurysms and the care after operation

収録刊行物

  • 医療

    医療 36 (8), 805-808, 1982

    一般社団法人 国立医療学会

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