Læknaneminn - 01.04.2016, Blaðsíða 32

Ri
trý
nt
e
fn
i
32
hjá samsvarandi þýði (e. matched population)
og hefur haldist nokkuð stöðug undanfarna
áratugi þrátt fyrir talsverða framþróun í
aðgerðartækni47,63.
Aðeins 10-18% sjúklinga lifa af rof á ósæð.
Aðrir deyja ýmist samstundis, í flutningi,
fyrir aðgerð, í aðgerð eða innan 30 daga eftir
aðgerð5,7,64,65.
Lokaorð
Ósæðargúll í kviðarholi er lífshættulegur
sjúkdómur og vegur rof þungt sem orsök
dauðsfalla á Vesturlöndum, sér í lagi hjá
eldri karlmönnum. Því er til mikils að vinna
að draga úr breytanlegum áhættuþáttum
ósæðargúla, einkum reykingum sem auka
algengi sjúkdómsins, rofhættu og minnka
lífslíkur í kjölfar aðgerðar. Undanfarna áratugi
hefur verið mikil framþróun í greiningu og
meðferð og hafa rannsóknir stutt ávinning
af skimun áhættuhópa. Auk þess hefur
ósæðarfóðring komið fram á sjónarsviðið sem
góð viðbót við meðferðarúrræði. Mikilvægt
er að læknar og annað heilbrigðisstarfsfólk
muni eftir einkennagefandi ósæðargúlum
sem mismunagreiningu kviðverks enda geta
afleiðingar rofs verið voveiflegar.
Sérstakar þakkir fá Kristbjörn Reynisson og
Áskell Löve röntgenlæknar.
Fengið var upplýst, skriflegt samþykki sjúklings
og birting tilkynnt Persónuvernd.
Heimildaskrá
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