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肾血管重建术中手术发病率和死亡率的降低

Diminished operative morbidity and mortality in renal revascularization.

作者信息

Novick A C, Straffon R A, Stewart B H, Gifford R W, Vidt D

出版信息

JAMA. 1981 Aug 14;246(7):749-53.

PMID:7253138
Abstract

From 1974 to 1980, one hundred consecutive patients with atherosclerotic renovascular disease underwent revascularization. There were two operative deaths and eight postoperative complications. This low operative morbidity is attributed to preoperative screening, correction of existing coronary or cerebrovascular disease, and reliance on methods of revascularization that obviate operation on a badly diseased aorta. The results in 78 patients with renovascular hypertension were 40% cured, 51% improved, and 9% failed. In 22 patients in whom revascularization was performed to preserve renal function, the postoperative serum creatinine levels were improved in 19 patients, remained stable in two patients, and increased in one patient.

摘要

1974年至1980年,100例连续性动脉粥样硬化性肾血管疾病患者接受了血运重建术。有2例手术死亡和8例术后并发症。这种低手术发病率归因于术前筛查、对现有冠状动脉或脑血管疾病的纠正,以及依赖避免对严重病变主动脉进行手术的血运重建方法。78例肾血管性高血压患者的治疗结果为40%治愈、51%改善、9%失败。在22例为保留肾功能而进行血运重建的患者中,19例患者术后血清肌酐水平改善,2例患者保持稳定,1例患者升高。

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Diminished operative morbidity and mortality in renal revascularization.肾血管重建术中手术发病率和死亡率的降低
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引用本文的文献

1
Use of the hepatic circulation for renal revascularization.利用肝循环进行肾血管重建。
Ann Surg. 1984 Apr;199(4):406-11. doi: 10.1097/00000658-198404000-00006.
2
Juxtarenal aortic atherosclerosis. Surgical experience and functional result.肾旁主动脉粥样硬化。手术经验与功能结果。
Ann Surg. 1984 Sep;200(3):345-54. doi: 10.1097/00000658-198409000-00012.
3
Late results after surgical treatment of renovascular hypertension. A follow-up study of 122 patients 2-18 years after surgery.肾血管性高血压手术治疗后的远期结果。对122例患者术后2至18年的随访研究。
Ann Surg. 1985 Feb;201(2):219-24. doi: 10.1097/00000658-198502000-00014.