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Register a new userRuptured Infrarenal Abdominal Aortic Aneurysms, Al Mowassat Hospital Experience
أمهات الدم الأبهرية تحت الشرايين الكلوية المتمزقة خبرة مشفى المواساة
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Damascus University ورقة بحثية
Publication date
2005
fields
Medicine
and research's language is
العربية
Authors
هاشم صقر( باحث )
Created by
Shamra Editor
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شكل تمزق أمهات الدم الأبهرية تحت الشرايين الكلوية أهم مضاعفات أمهات الدم الأبهرية مع نسبة وفيات تصل إلى أكثر من 50 % يعرض الكاتب خبرة مشفى المواساة لعامي 2000 – 2001 بمعالجـة / 14 / مريـضاً ( 10 ذكور –4 إناث )، ذوي متوسط عمري 65 سنة، كانوا قد راجعوا الإسعاف و شخص لهـم أم دم متمزقة للأبهر البطني تحت الشرايين الكلوية. تم تأكيد التشخيص بواسطة ايكو البطن و الطبقي المحوري مع الحقن في / 10 / حالات، في حين أدخل / 4 / مرضى إلى غرفة العمليات مباشرة ( بعد إجراء ايكو بطن فقـط ) بـسبب سوء وضعهم الهيموديناميكي, و تم التداخل الجراحي على جميع المرضى عبر البر توان. الوفيات/ 6 / مرضى (8.42%) كانت بسبب عدم استقرار العوامل الهيموديناميكيـة فـي /4/ مرضى, بينما اثنان بعد العمل الجراحي ( احتشاء عضلة قلبية بعد يومين، و قـصور كلـوي بعد أسبوع ). النتائج البعيدة ( 3-12 شهراً ) تمثلت في حالتين من القصور الكلوي المزمن الذي احتاج إلى جلسات تحال دموي. يستنتج الباحث من هذا البحث أن التشخيص المبكر و التداخل الجراحي السريع بالإضافة إلى توافر أهلية الأطر التخديرية و التمريضية و المراكز المختصة في جراحة الأوعيـة الدمويـة يسهم بشكل كبير في تخفيض نسبة الوفيات لهذه المضاعفة.
The rupture of infrarenal abdominal aortic aneurysm is considered a life threatening serious complication with a mortality rate over 50 %. The author reviewed in this study 14 patients ( 10 Males/ 4 Females) presented to Al Mowassat Hospital over a period of two years 2000-2001 with mean age of 65 years. The diagnosis was confirmed by abdominal Echography and abdominal contrast Ct-scan in 10 patient while 4 patients had abdominal Echography only preoperatively , a confined retroperitoneal rupture was confirmed in all patients . The overall mortality was 42,8% (6 patients) : 4 patients had intra operative death because of hemodynamic instability at presentation ,one patient died 2 days later because of acute myocardial infarction, one patient died l week later because of the complication of acute renal failure The author concludes that early diagnosis and rapid surgical approach proceeding associated with a good postoperative care can reduce the mortality of ruptured infrarenal abdominal aortic aneurysms.
References used
Should ruptured abdominal aortic aneurysms be repaired in the octagenerian? Sean ,P.Roddy, et al. Cardiovascular sugery,oct,2003,vol11,no5
Aneurysms of abdominal aorta :Clinical onset, diagnosis. Agrifoglio G.,Gabrielli L. Academic press,London page 19,1982
The quality of care for patients with abdominal aortic aneurysms. Justin B.Dimick,Gilbert R.Jr Cardiovascular surgery,oct.2003
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world for a relatively long time. The micro surgery is an essential part in
the reconstruction of tissue of skin, muscle
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