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タイトル腎血管性高血圧症に対する治療経験 特に人血行再建術について
タイトルヨミジン ケッカンセイ コウケツアツショウ ニ タイスル チリョウ ケイケン ニ ツイテ トクニ ジン ケッコウ サイケン ジュツ ニ ツイテ
タイトル別表記Surgical Treatment of Renovascular Hypertension
作成者江里, 健輔
安武, 俊輔
小田, 悦郎
八牧, 力雄
作成者ヨミエサト, ケンスケ
ヤスタケ, シュンスケ
オダ, エツロウ
ヤマキ, リキオ
作成者別表記Esato, Kensuke
Yasutake, Syunsuke
Oda, Etsuro
Yamaki, Rikio
作成者所属山口大学医学部
内容記述(抄録等)During the last twelve years, twelve patients with renovascullar hypertension, five males and seven females, were treated surgically for this condition. Their ages ranged from fifteen to fifty-one (thirty-one average). Causative diseases were aortitis in four of the patients, atherosclerosis in three, fibromuscular displasia in two. In three of the patients the cause was unknown. Two patients with aortitis in both renal arterial roots which had caused narrowing of the aorta underwent aorto-aortal and aorto-renal bypasses with Decron grafts. One patient improved markedlyl but the other patient's condition was so serve that an end-to-end anastomosis between the splenic and left renal arteries was subsequently performed with considerable improvement. In a patient with stenosis of the left renal artery caused by aorititis, aorto-renal bypass with a Dacron graft was performed without success. Nephrectomy is scheduled because of irreversible renal damage. A patient with stenosis of both renal arteries due to atherosclerosis who had undergone an end-to-end anastomosis between the splenic and left renal arteries and right nephrectomy died of acute renal failure 13 days after surgery. Another patient with stenosis of the right renal artery of unknown origin who had undergone aorto-renal bypass with a Dacron graft, died of cereral bleeding 4 days after surgery. In seven patients, good results followed nephrectomics. However, it is our opinion that renovascular reconstruction should be undertaken first because it is impossible to know pre-operatively whether or not renal damage can be reserved by vascular surgery. If this more conservative surgery is not benefical, it can be followed by nephrectomy.
本文言語jpn
主題医学
資料タイプtext
出版者山口大学医学会
出版者ヨミヤマグチ ダイガク イガッカイ
NII資料タイプ学術雑誌論文
査読の有無査読あり
ISSN0513-1731
NCIDAN00243156
学内刊行物(紀要等)山口医学
掲載誌名山口医学
27
2
開始ページ191
終了ページ200
発行日1978-06
著者版/出版社版その他
リポジトリIDB030027000208
地域区分山口大学
URIhttp://www.lib.yamaguchi-u.ac.jp/yunoca/handle/B030027000208