Gürkan ERSOY, Neşet Nuri GÖNÜLLÜ, Nihat Zafer UTKAN, Nuh Zafer CANTÜRK, Mustafa DÜLGER

Tıkanma Sarılıklı Hastalarda Postoperatif Akut Böbrek Yetmezliği

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

Postoperative Acute Renal Failure in Patients With Obstructive Jaundice

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.

Keywords:

jaundice, renal failure,

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