Riggs T R, McDowell D E
W V Med J. 1989 Feb;85(2):47-9.
Despite improvement in anesthetic and postoperative care, ruptured abdominal aortic aneurysms (AAA) continue to have a high mortality. Thirty-three patients from 1980-1986 underwent surgery at West Virginia University for ruptured AAA, with 12 survivors (36.4 per cent). Age, use of MAST trousers, initial hemoglobin and blood pressure as well as operative time and estimated blood loss were not found to be significantly different between survivors and non-survivors. The blood pressure at the time of induction, during surgery, at the end of surgery, and the final temperature were significantly different. Our results show that the chance of survival is much greater if the patient responds to the initial fluid resuscitation prior to induction, and if blood pressure and temperature are maintained during the operation.
尽管麻醉和术后护理有所改善，但腹主动脉瘤破裂（AAA）的死亡率仍然很高。1980年至1986年期间，33例患者在西弗吉尼亚大学接受了腹主动脉瘤破裂手术，其中12例存活（36.4%）。未发现存活者和非存活者在年龄、MAST裤的使用、初始血红蛋白和血压以及手术时间和估计失血量方面有显著差异。诱导时、手术期间、手术结束时的血压以及最终体温有显著差异。我们的结果表明，如果患者在诱导前对初始液体复苏有反应，并且在手术期间维持血压和体温，那么存活的机会要大得多。
