Körge K, Muraschew E, Pokk L
Z Gesamte Inn Med. 1975 Aug 15;30(16):156-9.
On the basis of the section material of 25 years in Tartu a significant increase of the frequency of arteriosclerotic aneurysms of the aorta, especially of the abdominal aorta and its ruptures, could be established. At the same time the appearance of luetic aortic aneurysms decreased. Due to its variable symptomatology the diagnosis of the rupture of an aneurysm of the abdominal aorta is often not exactly diagnosed by the physician who is first in charge of the case. On the basis of a clinical material of 21 post-mortem examinations the diagnostics of the rupture of the aneurysm of the abdominal aorta is discussed, and the most important symptoms are emphasized. It is emphasized that an aneurysms of the abdominal aorta shall be recognized in every case allready before its rupture as the prognosis of the operation is relatively good in this stage. Since it must be reckoned with a continuous increase of the frequency of the arteriosclerotic lesions of the aorta the physician shall, too, always think of an aneurysm of the abdominal aorta when uncertain complaints of the abdomen and the back are present.
根据塔尔图25年的切片材料，可以确定主动脉，尤其是腹主动脉及其破裂的动脉硬化性动脉瘤的发生率显著增加。与此同时，梅毒性主动脉瘤的出现有所减少。由于腹主动脉瘤破裂的症状多样，负责该病例的首诊医生常常无法准确诊断。基于21例尸检的临床资料，对腹主动脉瘤破裂的诊断进行了讨论，并强调了最重要的症状。需要强调的是，在腹主动脉瘤破裂之前的每个病例中都应识别出该疾病，因为在此阶段手术预后相对较好。由于必须考虑到主动脉动脉硬化病变的发生率会持续增加，因此当患者出现腹部和背部不确定的不适时，医生也应始终考虑腹主动脉瘤的可能。
