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Ruptured Abdominal Aortic Aneurysm:The factors influencing mortality and postoperative renal dysfunction Toshihiro Funatsu 1 , Hirotsugu Fukuda 1 , Mugiho Takeuchi 1 , Shinya Fukui 1 , Takafumi Masai 1 1Department of Cardiovascular Surgery, Sakurabashi Watanabe Hospital Keyword: 腹部大動脈瘤破裂 , 危険因子 , 腎障害 , ruptured abdominal aortic aneurysm , risk factor , renal dysfunction pp.699-702
Published Date 2007/6/15
DOI https://doi.org/10.11477/mf.1404100825
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 To evaluate the prognostic factors associated with mortality and postoperative renal dysfunction, we reviewed fourteen consecutive cases of emergency surgery for ruptured abdominal aortic aneurysms. Five patients died postoperatively and the hospital mortality rate was 36%. Three of the patients died from systemic shock within a week. Renal dysfunction occurred in six patients and was treated with continuous hemofiltration. Shock status on arrival, preoperative lower hemoglobin, lower base excess, and more usage of blood product during operation were significantly associated with mortality. Preoperative shock and hypotension were estimated to be significant risk factors of postoperative renal failure. These results suggested the need for early diagnosis and initiation of surgery. Pre-and intra-operative management for hypotension and oliguria to avoid subsequent renal dysfunction seem to be important and might contribute to the reduction of mortality and morbidity.


Copyright © 2007, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

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