| Item type |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2009-01-19 |
| タイトル |
|
|
タイトル |
高齢者冠状動脈バイパス術の検討 - 術後重要臓器障害における加齢の関連性 - |
|
言語 |
ja |
| タイトル |
|
|
タイトル |
The analysis of coronary artery bypass grafting in elderly patients - Involvement of age in postoperative damate to major organs - |
|
言語 |
en |
| 言語 |
|
|
言語 |
jpn |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
Coronary artery bypass grafting |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
Elderly patient |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
Extracorporeal circulation |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 作成者 |
千田, 佳史
山本, 文雄
山本, 浩史
石橋, 和幸
平居, 秀和
[ほか]
|
| 内容記述 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
Objectives: The effects of aging on mortality and morbidity after coronary artery bypass grafting (CABG) are not clear at present. To clarify these effects, we investigated the change of organ function perioperatively in patients undergoing CABG. Materials and Methods: We investigated the clinical course, including cardiac, renal, liver and respiratory functions in the pre- and postoperative periods of 135 patients. The patients were divided into four age-dependent groups (Group A, 26 patients aged under 59; Group B, 44 patients aged 60-69; Group C, 56 patients aged 7079; and Group D, 9 patients aged over 80) and then were compared by the parameters described above. Results: The mortality rate was 1.48% for all patients. In the preoperative period, there was no significant difference between the four groups in terms of cardiac index, SvOz, GOT, GPT, or T.Bil. Respiratory function (PaO,/FiO,) was significantly (p < 0.05) lower in group D than in the other groups. Creatinine clearance tended to be lower in Group D than in the other groups. After CABG, the BUN and Cre increased and PaOz/FiOz decreased from the preoperative levels in all the groups. The CRP normalization period, the intubation time, and the duration of ICU stay and hospitalization were longer in Group D than in the other groups. Conclusions: Aging exerted a decreased function on the postoperative respiratory and renal functions with a concomitant prolongation of CRP normalization. Thus, in elderly patients undergoing CABG with extracorporeal circulation, greater medical attention to respiratory and renal dysfunction should be given perioperatively. |
|
言語 |
en |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 書誌情報 |
秋田医学
巻 31,
号 2,
p. 131-139,
発行日 2004-09-01
|
| 収録物識別子 |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
03866106 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AN00009294 |
| 出版者 |
|
|
出版者 |
秋田医学会 |
akigaku31-2e.pdf (713.7 kB)
