Vohra R, Abdool-Carrim A T, Groome J, Pollock J G
Department of Peripheral Vascular Surgery, Glasgow Royal Infirmary, Scotland.
Ann Vasc Surg. 1988 Apr;2(2):114-9. doi: 10.1016/S0890-5096(06)60792-9.
Postoperative complications in 92 patients undergoing repair of ruptured abdominal aortic aneurysms are reviewed. Renal failure and cardiac complications were fatal in 74% and 85% of the patients, respectively. Preoperative renal function at the time of presentation had no correlation with the development of renal failure. All but one patient in whom the left renal vein was divided developed renal failure postoperatively. There also was a preponderance of this complication in the patients needing suprarenal aortic control. Respiratory complications were seen in 29% of patients with 22% mortality. Peripheral emboli and ischemic colitis developed in 8% and 9% of the patients, respectively.
回顾了92例腹主动脉瘤破裂修复患者的术后并发症。肾衰竭和心脏并发症分别导致74%和85%的患者死亡。就诊时的术前肾功能与肾衰竭的发生无相关性。除1例患者外，所有左肾静脉被切断的患者术后均发生肾衰竭。在需要肾上腹主动脉控制的患者中，这种并发症也占优势。29%的患者出现呼吸并发症，死亡率为22%。分别有8%和9%的患者发生外周栓塞和缺血性结肠炎。
