主动脉瘤——该由谁来做这类手术？
Aortic aneurysms--who should do them?
作者信息
Vella V, Duthie G, Shandall A, Shute K
机构信息
Department of Surgery, Royal Gwent Hospital, Newport.
出版信息
Ann R Coll Surg Engl. 1990 Jul;72(4):215-7.
All patients undergoing abdominal aortic aneurysm repairs in a district general hospital between 1 January 1983 and 31 December 1987 were reviewed. Of the 76 cases, 53 were planned and 23 were ruptured aneurysms. The male:female ratio was 4.4:1, and the age range was 47-84 years (mean 67.6 +/- 6.97 years). Half underwent an ultrasound scan, showing a maximum diameter range of 3-12 cm. Fifty-seven (75%) had tube grafts, and 19 (25%) bifurcation grafts. The 30-day mortality was 3.7% for planned cases, and 26% for ruptured cases. The principal operator in 55 (72.5%) cases was a consultant; consultant anaesthetists were involved in 61.3% cases. We conclude that aneurysm surgery can safely be performed in a district general hospital by a general surgeon with an interest in vascular surgery.
对1983年1月1日至1987年12月31日期间在一家地区综合医院接受腹主动脉瘤修复手术的所有患者进行了回顾性研究。在这76例病例中，53例为择期手术，23例为破裂性动脉瘤。男女比例为4.4:1，年龄范围为47 - 84岁（平均67.6±6.97岁）。半数患者接受了超声扫描，显示最大直径范围为3 - 12厘米。57例（75%）采用直管型移植物，19例（25%）采用分叉型移植物。择期手术的30天死亡率为3.7%，破裂性病例为26%。55例（72.5%）病例的主刀医生为顾问医生；61.3%的病例有顾问麻醉师参与。我们得出结论，对血管外科感兴趣的普通外科医生可以在地区综合医院安全地进行动脉瘤手术。
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