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ID 13920
Eprint ID
13920
フルテキストURL
Thumnail 105_35.pdf 341 KB
タイトル(別表記)
Operative morbidity of elderly patients with gastrointestinal disease
著者
椎木 滋雄 鳥取市立病院外科
中川 和彦 鳥取市立病院外科
佐々木 寛 鳥取市立病院外科
山下 裕 鳥取市立病院外科
湯村 正仁 鳥取市立病院外科
小谷 穣治 鳥取市立病院外科
柚木 靖弘 岡山大学医学部第一外科学教室
折田 薫三 岡山大学医学部第一外科学教室
抄録
The operative morbidity and its relating factors were studied on 95 patients, 80 years old or older, operated for gastrointestinal (GI) diseases under general anesthesia at the department in a recent 11-year period. Among a total of 98 cases of GI diseases including 32 of gastric cancer, 17 of colorectal cancer, 16 of cholelithiasis and 33 of others, 108 procedures were performed for 38 gastric, 27 colorectal, 31 hepato-biliary-pancreatic and 12 other surgical conditions. Fifty-four operative complications occurred in 39 cases(41%), which were 13 respiratory, 11 delirium, 9 cardiovascular and 21 other complications. The respiratory morbidity rate was significantly high in males and significantly low in the cases receiving halanced epidural anesthesia. Postoperative delirium occurred more frequently in patients having an intraoperative blood loss of over 200 ml, and the cardiovascular morbidity rate was significantly high for an operative time of over 3 hours. The operative morbidity and 30-day operative mortality rate were significantly higher for emergency operations than for non-emergency operations. These findings suggest that, in the surgery for elderly patients and especially in an emergent situation, special care must be paid to decrease the quantity of bleeding and shorten the duration of operation by employing a proper procedure and anesthesia.
キーワード
高齢者
消化器手術
術後合併症
発行日
1993-02-27
出版物タイトル
岡山医学会雑誌
出版物タイトル(別表記)
Journal of Okayama Medical Association
105巻
1-2号
出版者
岡山医学会
出版者(別表記)
Okayama Medical Association
開始ページ
35
終了ページ
41
ISSN
0030-1558
NCID
AN00032489
資料タイプ
学術雑誌論文
オフィシャル URL
https://www.jstage.jst.go.jp/article/joma1947/105/1-2/105_1-2_35/_article/-char/ja/
関連URL
http://www.okayama-u.ac.jp/user/oma/index.html
言語
Japanese
著作権者
岡山医学会
論文のバージョン
publisher
査読
有り
Eprints Journal Name
joma