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腹主动脉瘤:择期修复的重要性。

Abdominal aortic aneurysms: the importance of elective repair.

作者信息

Horgan A F, O'Riordain D S, Brady M P, O'Donnell J A

机构信息

University Department of Surgery, University College, Cork, Ireland.

出版信息

Ir J Med Sci. 1991 Jan;160(1):23-5. doi: 10.1007/BF02944727.

DOI:10.1007/BF02944727
PMID:1885287
Abstract

Repair of abdominal aortic aneurysms (AAA) is being performed with a progressively lower mortality and morbidity. We reviewed 111 patients who underwent repair of their AAA. Sixty-two were electively repaired and 49 had emergency surgery. Eight patients had cocomitant non-vascular procedures carried out. Operative mortality was 3.2% and 49% for elective and emergency cases respectively. Postoperative complications occurred in 40% of elective cases and 72% of emergency cases, respiratory complications being the most common, occurring in 25% and 40% of elective and emergency cases respectively. Subsequent graft complications occurred in six patients, five following emergency surgery.

摘要

腹主动脉瘤(AAA)修复手术的死亡率和发病率正逐步降低。我们回顾了111例行AAA修复手术的患者。其中62例为择期修复,49例为急诊手术。8例患者同时进行了非血管手术。择期和急诊手术的手术死亡率分别为3.2%和49%。40%的择期病例和72%的急诊病例发生了术后并发症,呼吸并发症最为常见,分别发生在25%的择期病例和40%的急诊病例中。6例患者出现了后续的移植物并发症,其中5例发生在急诊手术后。

相似文献

1
Abdominal aortic aneurysms: the importance of elective repair.腹主动脉瘤:择期修复的重要性。
Ir J Med Sci. 1991 Jan;160(1):23-5. doi: 10.1007/BF02944727.
2
Abdominal aortic aneurysms. Risk factors and complications and their influence on indication for operation.腹主动脉瘤。危险因素、并发症及其对手术指征的影响。
J Cardiovasc Surg (Torino). 1989 Jul-Aug;30(4):572-8.
3
Nineteen year experience on the treatment of aneurysms of the abdominal aorta: a survey of 832 consecutive cases.腹主动脉瘤治疗的19年经验:832例连续病例的调查。
J Cardiovasc Surg (Torino). 1985 Nov-Dec;26(6):547-53.
4
Selective use of retroperitoneal aortic exposure in the emergency treatment of ruptured and symptomatic abdominal aortic aneurysms.在破裂性和症状性腹主动脉瘤的急诊治疗中选择性应用腹膜后主动脉暴露术。
Am J Surg. 1988 Aug;156(2):108-10. doi: 10.1016/s0002-9610(88)80366-0.
5
Abdominal aortic aneurysms: some controversial points.腹主动脉瘤:一些争议点。
J Cardiovasc Surg (Torino). 1983 Sep-Oct;24(5):481-7.
6
Abdominal aortic aneurysms. Results of surgical treatment.腹主动脉瘤。外科治疗结果。
J Cardiovasc Surg (Torino). 1985 Nov-Dec;26(6):539-46.
7
[Aneurysms of the abdominal aorta].腹主动脉瘤
Schweiz Med Wochenschr. 1984 Sep 15;114(37):1256-62.
8
[Infrarenal abdominal aneurysms. Course and their effect on perioperative mortality. A 23-year study].
Acta Chir Belg. 1986 Jan-Feb;86(1):17-20.
9
Abdominal aortic aneurysmectomy: a review of 60 consecutive cases contrasting elective and emergency surgery.
J Cardiovasc Surg (Torino). 1973 Sep-Oct;14(5):484-91.
10
[Early and late results after surgery of abdominal aortic aneurysm].[腹主动脉瘤手术后的早期和晚期结果]
Ugeskr Laeger. 1990 Jun 4;152(23):1676-8.

本文引用的文献

1
Abdominal aortic aneurysm; a study of one hundred and two cases.腹主动脉瘤;102例研究。
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2
Resection of an aneurysm of the abdominal aorta: reestablishment of the continuity by a preserved human arterial graft, with result after five months.腹主动脉瘤切除术:使用保存的人体动脉移植物重建连续性,术后五个月的结果。
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Extraperitoneal approach to the abdominal aorta.
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4
Associated intra-abdominal lesions encountered during resection of aortic aneurysms: surgical considerations.腹主动脉瘤切除术中遇到的相关腹腔内病变:手术考量
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Progress in the treatment of ruptured abdominal aortic aneurysm.
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Little used surgical techniques of value.价值不大的少用手术技术。
Am J Surg. 1982 Aug;144(2):186-90. doi: 10.1016/0002-9610(82)90504-9.
7
Complications of abdominal aortic reconstruction. An analysis of perioperative risk factors in 557 patients.腹主动脉重建术的并发症。557例患者围手术期风险因素分析。
Ann Surg. 1983 Jan;197(1):49-56.
8
Diagnosis and management of 528 abdominal aortic aneurysms.528例腹主动脉瘤的诊断与治疗
Br Med J (Clin Res Ed). 1981 Aug 1;283(6287):355-9. doi: 10.1136/bmj.283.6287.355.
9
Abdominal aortic aneurysm repair combined with a second surgical procedure--morbidity and mortality.
Surgery. 1984 Apr;95(4):487-91.
10
Aortoiliac reconstruction combined with nonvascular operations.腹主动脉髂动脉重建术联合非血管手术。
Am J Surg. 1983 Dec;146(6):784-7. doi: 10.1016/0002-9610(83)90341-0.