Diminished operative morbidity and mortality in renal revascularization.
Diminished operative morbidity and mortality in renal revascularization.
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肾血运重建术的手术发病率和死亡率降低。
DOI：
10.1001/jama.1981.03320070033020
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发表时间：
1981
期刊：
影响因子：
--
通讯作者：
D. Vidt
中科院分区：
文献类型：
--
作者：
A. Novick;R. Straffon;B. Stewart;R. Gifford;D. Vidt
从1974年到1980年，连续100例动脉粥样硬化性肾血管疾病患者接受了血运重建。手术死亡2例，术后并发症8例。这种低手术发病率归因于术前筛查，纠正现有的冠状动脉或脑血管疾病，并依赖于血管重建的方法，避免在严重病变的主动脉上进行手术。78例肾血管性高血压患者的结果是40%治愈，51%改善，9%失败。在22例进行血运重建以保护肾功能的患者中，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。
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.