Postoperative Acute Renal Failure in Patients With Obstructive Jaundice

Yıl 1996, Cilt: 1 Sayı: 1, 32 - 34, 30.11.1996

Gürkan Ersoy Neşet Nuri Gönüllü Nihat Zafer Utkan Nuh Zafer Cantürk Mustafa Dülger

Öz

Postoperative
acute renal failure in patients with obstructive jaundice remains a clinically
significant complications. The results of prospective analysis of 54 patients
undergoing biliary tract surgery show that the presence of obstructive jaundice
is associated with a high incidence of acute postoperative renal failure. There
were 11 (% 24.3) death within early postoperative period and 4 of this 11
patients death was due to acute renal failure. There was a highly significant
correlation between the preoperative serum bilirubine BUN and creatinine level
and postoperative mortality rate. There was not significant correlation with
level of preoperative serum bilirubine, BUN and creatinin with mortality due to
acute renal failure.

Anahtar Kelimeler

jaundice, renal failure

Tıkanma Sarılıklı Hastalarda Postoperatif Akut Böbrek Yetmezliği

Öz

Tıkanma
sarılıklı hastalarda posoperatif akut renal yetmezlik halen klinik olarak önemli
bir komplikasyondur. Biliyer cerrahi girişim uygulanan 54 hastanın prospektif
analiz sonuçları sarılık varlığında yüksek oranda akut renal yetmezlik
insidansı olduğunu gösterdi. Erken postoperatif peryodda 11(%24,3) hasta öldü.
Bu 11 hastanın 4 'ündeki ölüm nedeni akut böbrek yetmezliği idi. Preoperatif
serum bilirubin, BUN ve kreatinini değerleri ile postoperatif mortalite
arasında anlamlı ilişki vardı. Preoperatif serum bilirubin BUN ve kreatinin düzeyleri
ilee akut böbrek yetmezliğine bağlı ölümler arasında anlamlı bir ilişki yoktu.

Anahtar Kelimeler

sarılık, böbrek yetmezliği

Kaynakça

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