大動脈瘤切除10例の検討 (心・大血管疾患 ; 大動脈瘤)
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- Material Type
- 記事
- Title
- Author/Editor
- 重清 政章 他
- Series Title
- Author Heading
- Periodical title
- 医療 : 国立医療学会誌 :Japanese journal of National Medical Services
- No. or year of volume/issue
- 36(8) 1982.08
- Volume
- 36
- Issue
- 8
- Pages
- p805～808
- Publication date of volume/issue (W3CDTF)
- 1982-08
- ISSN (Periodical Title)
- 0021-1699
- ISSN-L (Periodical Title)
- 0021-1699
- Publication (Periodical Title)
- 東京 : 国立医療学会
- Place of Publication (Country Code)
- JP
- Text Language Code
- jpn
- NDLC
- Target Audience
- 一般
- Holding library
- 国立国会図書館
- Call No.
- Z19-104
- Data Provider (Database)
- 国立国会図書館 : 国立国会図書館雑誌記事索引
- Bibliographic ID (NDL)
- 2496421
- Bibliographic Record Category (NDL)
- 632
- Summary, etc.
- 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 <sup>99m</sup>TO<sub>4</sub> or <sup>99m</sup>Tc-albumin 15-20 mci as radioisotope) in the diagnosis of the aortic aneurysms and the care after operation我々の経験した血管外科症例90例のうち大動脈瘤10例に検討を加えた. そのうち9例は腹部大動脈瘤であり腎動脈分岐部以下で破裂例はなかつた. 他の1例は胸腹剖大副脈癌で下行大動脈より腎動脈分岐部直上に至る手拳2倍大の大きなもので, 本邦で初めてのCrawford手術成功例である. 男女比は9:1で, 年令55才より76才までであつた. 主訴としては腹部拍動性腫瘤が最も多くその他腹痛, 腹部膨満感などであつた. 術式として腹部大動脈瘤の全症例にはY字型人工血管で置換し, 胸腹部大動脈瘤の1例はCrawford type II術式に準じてintraluminalに血行再建した. 手術死亡は腹部大動脈瘤の2例で, 1例は心筋梗塞, 他は解離性大動脈瘤併発の疑いでそれぞれ術後4日目5日目に死亡した. 他の8例のうち1例が他病死(胃癌)したが, 残りの7例は最長4年5ヵ月の現在すべて健在である. 大動脈瘤に対し非侵襲的診断法であるRIアンジオグラフイー法を利用し有用であつた
- DOI
- 10.11261/iryo1946.36.805
- Access Restrictions
- インターネット公開
- Data Provider (Database)
- 科学技術振興機構 : J-STAGE
- Summary, etc.
- 我々の経験した血管外科症例90例のうち大動脈瘤10例に検討を加えた. そのうち9例は腹部大動脈瘤であり腎動脈分岐部以下で破裂例はなかつた. 他の1例は胸腹剖大副脈癌で下行大動脈より腎動脈分岐部直上に至る手拳2倍大の大きなもので, 本邦で初めてのCrawford手術成功例である. 男女比は9:1で, 年令55才より76才までであつた. 主訴としては腹部拍動性腫瘤が最も多くその他腹痛, 腹部膨満感などであつた. 術式として腹部大動脈瘤の全症例にはY字型人工血管で置換し, 胸腹部大動脈瘤の1例はCrawford type II術式に準じてintraluminalに血行再建した. 手術死亡は腹部大動脈瘤の2例で, 1例は心筋梗塞, 他は解離性大動脈瘤併発の疑いでそれぞれ術後4日目5日目に死亡した. 他の8例のうち1例が他病死(胃癌)したが, 残りの7例は最長4年5ヵ月の現在すべて健在である. 大動脈瘤に対し非侵襲的診断法であるRIアンジオグラフイー法を利用し有用であつた
- DOI
- 10.11261/iryo1946.36.805
- Related Material (URI)
- Data Provider (Database)
- 国立情報学研究所 : CiNii Research
- Original Data Provider (Database)
- Japan Link Center雑誌記事索引データベースCiNii Articles
- Bibliographic ID (NDL)
- 2496421
- NAID
- 130004313156