RESPIRATORY AND RENAL INSUFFICIENCY AS RISK FACTORS OF SURGICAL TREATMENT OF PATIENTS WITH AORTIC ANEURYSM OF THE INFRARENAL SEGMENT
https://doi.org/10.24884/0042-4625-2013-172-2-047-050
Abstract
Retrospective analysis of data in 188 patients showed, that chronic nonspecific pulmonary disease was diagnosed in 65,4 % of all. Disorders of bronchial patency of different degrees of manifestation were noted in 61,2 % and 19,7 % of patients had a hypoxemia. Renal diseases were found in 59 % of patients, resulting in the development of chronic renal insufficiency in 17 %. The data obtained indicate, that the presence of coexisting pulmonary pathology directly influences the frequency and severity of respiratory complications after surgery, which can be the cause of fatal outcome. The presence of renal diseases results in three times higher risk of the development of postoperative renal complications.
Keywords
аневризма инфраренального сегмента аорты,
хроническая обструктивная болезнь легких,
почечная недостаточность,
дыхательные и почечные послеоперационные осложнения,
aortic aneurysm of the infrarenal segment,
chronic obstructive pulmonary disease,
renal insufficiency,
respiratory and renal postoperative complications
About the Authors
N. A. Yaitsky
State Pavlov Medical University
Russian Federation
Russian Federation
A. Ya. Bedrov
State Pavlov Medical University
Russian Federation
Russian Federation
G. I. Martynenko
State Pavlov Medical University
Russian Federation
Russian Federation
A. A. Vraby
State Pavlov Medical University
Russian Federation
Russian Federation
A. A. Moiseev
State Pavlov Medical University
Russian Federation
Russian Federation
References
1. Бокерия Л. А., Спиридонов А. А., Аракелян В. С. и др. Тактика хирургического лечения аневризмы брюшной аорты у больных старше 70 лет // Грудная и серд.-сосуд. хир. 2003. № 5. С. 34–39.
2. Логинов О. Е., Медведев А. П., Иванов Л. Н. и др. Профилактика периоперационных осложнений в плановой хирургии аневризм брюшной аорты // Мед. альманах. 2008. № 4. С. 144–145.
3. Покровский А. В., Дан В. Н., Златовчен А. М., Ильин С. А. Влияние исходного дыхательного и почечного статуса на результаты хирургического лечения больных с аневризмами брюшной аорты старше 70 лет // Анн. хир. 2002. № 3. C. 49–53.
4. Черный С. М., Ли В. Ф. Синдром острого повреждения легких и острый респираторный дистресс-синдром (лекция) // Болезни органов дыхания. 2009. № 1. С. 68–74.
5. Bown M. J., Sayers R. D. The management of abdominal aortic aneurysm in patients with concurrent renal impairment // Eur. J. Vasc. Endovasc. Surg. 2005. Vol. 30. P. 1–11.
6. Compton C. N., Dillavou E. D., Sheehan M. K. et al. Is abdominal aortic aneurysm repair appropriate in oxygen-dependent chronic obstructive pulmonary disease patients? // J. Vasc. Surg. 2005. Vol. 42. P. 650–653.
7. Diehl J. T., Cali R. F., Hertzer N. R. et al. Complications of abdominal aortic aneurysm // Ann. Surg. 1983. Vol. 197. P. 49–56.
8. Johnson O. N., Sidawy A. N., Scanlon J. M. et al. Impact of obesity on outcomes after open surgical and endovascular abdominal aortic aneurysm repair // J. Am. Coll. Surg. 2010. Vol. 210. P. 166–177.
9. Lindholt J. S., Heickendorff L., Antonsen S. Natural history of abdominal aortic aneurysm with and without coexisting chronic obstructive pulmonary disease // J. Vasc. Surg. 1998. Vol. 28. P. 226–233.
10. Norwood M. G.A, Polimenovi N. M., Sutton A. J. et al. Abdominal aortic aneurysm repair in patient with chronic renal disease // Eur. J. Vasc. Endovasc. Surg. 2004. Vol. 27. P. 287–291.
11. Norwood M. G.A, Sayers R. D. Urinary albumin: creatinin ratio (ACR) and the prediction of postoperative complication after abdominal aortic aneurysm repair // Eur. J. Vasc. Endovasc. Surg. 2005. Vol. 30. P. 353–358.
Review
For citations:
Yaitsky N.A., Bedrov A.Ya., Martynenko G.I., Vraby A.A., Moiseev A.A. RESPIRATORY AND RENAL INSUFFICIENCY AS RISK FACTORS OF SURGICAL TREATMENT OF PATIENTS WITH AORTIC ANEURYSM OF THE INFRARENAL SEGMENT. Grekov's Bulletin of Surgery. 2013;172(2):047-050. (In Russ.) https://doi.org/10.24884/0042-4625-2013-172-2-047-050
Views:
318
Email this article 