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Title: The influence of intraabdominal pressure on respiratory efficiency with patients qualified for surgery in the area of abdominal aorta

Abstract:

Analyzed persons were 105 patients reporting consecutively for the reconstructive operations in the area of abdominal aorta (66 with abdominal aortic aneurysms - AAA and 39 with the Leriche syndrome – SL) who were examined on the level o intraabdominal pressure (IAP) and respiratory efficiency with an aid of spirometry. It was proven that there is a statistically relevant difference between mean IAP levels between two analyzed groups of patients (SL 4,56±2,47 mm Hg; AAA 8,39±4,49 mm Hg; p<0,001). No correlation between the level of IAP and aneurysm diameter was found. Chronic obstructive pulmonary disease was found in 31,8% of patients with AAA and 10,3% with SL. Mean values of the most of spirometry indicators did not differ between patients suffering from AAA and those suffering from SL (p>0,05). It was proven that there is difference as for the Tiffeneau index, which was higher with patients suffering from the Leriche syndrome (p=0,004). It was found negative correlation between the level of IAP and seven spirometry indicators in the group of patients suffering from SL. A negative correlation has also been found between the level of IAP and only one spirometry indicator in the group of patients suffering from AAA. The part of patients qualified for surgery in the area of abdominal aorta have increased IAP levels as early as in presurgery examinations – that is 61% of patients with AAA and 24% of patients with SL. Presented research results did not explain the reason of that phenomenon. Such IAP measurement results may be suggestion for extraordinary presurgery preparation with those patients.

Level of degree:

2 - studia doktoranckie

Degree discipline:

chirurgia ; pulmonologia

Degree grantor:

Wydział Nauk o Zdrowiu

Promoter:

Andrzej Cencora

Date issued:

2008

Format:

application/pdf

Identifier:

oai:dl.cm-uj.krakow.pl:909

Call number:

ZB-110241

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Access rights:

tylko w bibliotece

Location of original object:

Biblioteka Medyczna Uniwersytetu Jagiellońskiego - Collegium Medicum

Object collections:

Last modified:

Sep 11, 2019

In our library since:

Nov 21, 2012

Number of object content hits:

3

Number of object content views in PDF format

3

All available object's versions:

http://dl.cm-uj.krakow.pl:8080/publication/909

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ZB-110241 Sep 11, 2019
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