[腹主动脉瘤手术后的早期和晚期结果]

[Early and late results after surgery of abdominal aortic aneurysm].

作者信息

Olsen P S, Schroeder T, Perko M, Sørensen S, Agerskov K, Røder O C, Lorentzen J E

机构信息

Rigshospitalet, København, Karkirurgisk afdeling RK.

出版信息

Ugeskr Laeger. 1990 Jun 4;152(23):1676-8.

PMID:2363212

Abstract

From 1983-1987, 388 patients were operated upon for abdominal aortic aneurysm. Elective operation was performed on 171 patients (44%) with a mortality of 2.9%. Emergency operation was done in 277 patients of whom 132 (34%) had ruptured aneurysms. The mortality for ruptured aneurysms was 36% and 21% for patients operated on as emergencies without signs of rupture of the aneurysm. The five year survival rate was 75% after elective operation, 60% after emergency operation and 40% after operation for ruptured aneurysm. The high mortality after emergency operation for abdominal aortic aneurysm confirms the importance of early diagnosis and elective operation before rupture occurs.

摘要

1983年至1987年期间，388例患者接受了腹主动脉瘤手术。171例（44%）患者接受了择期手术，死亡率为2.9%。277例患者接受了急诊手术，其中132例（34%）为动脉瘤破裂患者。动脉瘤破裂患者的死亡率为36%，无动脉瘤破裂迹象而接受急诊手术的患者死亡率为21%。择期手术后五年生存率为75%，急诊手术后为60%，动脉瘤破裂手术后为40%。腹主动脉瘤急诊手术后的高死亡率证实了早期诊断和在破裂前进行择期手术的重要性。