2024-03-29T11:43:43Z
https://niigata-u.repo.nii.ac.jp/oai
oai:niigata-u.repo.nii.ac.jp:00016793
2022-12-15T03:48:17Z
453:456
471:537:538:1109
高齢者(70歳以上)腹部大動脈瘤手術の臨床的意義
高齢者(70歳以上)腹部大動脈瘤手術の臨床的意義
Significance of Abdominal Aortic Aneurysm Surgery in Patients Aged More than Seventy Years
劉, 維
elderly
abdominal aortic aneurysm
preoperative complication
late results
高齢者
腹部大動脈瘤
術前合併症
遠隔成績
An analysis was undertaken to clarify the significance of aodominal aortic aneurysmectomy in patients aged over 70 years. From July 1981 to December 1995, fourty-two patients aged over 70 years (mean age, 74 years) were admitted for surgery. The patients consisted of 36 males and 6 females. Aneurysmal diameter ranged from 4.5 cm to 10 cm (mean 7.0 cm). Five patients had a ruptured aneurysm. Preoperative complications such as hypertension, ischemic heart disease, cerebral infarction and respiratory dysfunction were observed in 29 (69 %), 11 (26 %), 7 (16 %) and 5 (11 %), respectively. Postoperative complication occurred in 9 (21 %) patients. Hospital death occurred in 2 (5 %) and late death in 13 (31 %) patients. Complete postoperative information was obtained in all patients. The 1, 5, and 10 year survival rates were 97 %, 68 %, and 42 %, respectively. The postoperative survival curve was similar to that of Japanese males aged of 75 years. In conclusion, good outcome would be expected in patients with abdominal aortic aneurysm when appropriate surgical management is carried out.
新潟医学会
1998-04
jpn
departmental bulletin paper
http://hdl.handle.net/10191/45803
https://niigata-u.repo.nii.ac.jp/records/16793
AN00182415
00290440
新潟医学会雑誌
新潟医学会雑誌
112
4
188
193
https://niigata-u.repo.nii.ac.jp/record/16793/files/112(4)_188-193.pdf
application/pdf
806.9 kB
2019-08-07