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在地区综合医院筛查腹主动脉瘤的可行性。

The feasibility of screening for abdominal aortic aneurysms in a district general hospital.

作者信息

O'Kelly T J, Heather B P

机构信息

Gloucestershire Royal Hospital.

出版信息

Ann R Coll Surg Engl. 1988 Jul;70(4):197-9.

Abstract

The feasibility of a screening programme for abdominal aortic aneurysms within a district general hospital population is explored, based on our current accepted knowledge of the natural history of this disease process. It is shown that ultrasound screening of males aged between 65 and 74 years, with elective repair of the aneurysms discovered, could save up to 20 lives per year in this district at a reasonable and justifiable cost. Moreover, such a programme would not place an unacceptable burden on existing radiological and surgical facilities.

摘要

基于我们目前对腹主动脉瘤这一疾病进程自然史的公认认识,探讨了在地区综合医院人群中开展腹主动脉瘤筛查项目的可行性。结果表明,对65至74岁男性进行超声筛查,并对发现的动脉瘤进行选择性修复,每年在该地区以合理且正当的成本可挽救多达20条生命。此外,这样一个项目不会给现有的放射和外科设施带来不可接受的负担。

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Surgery. 1981 Feb;89(2):275-6.
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The post-mortem incidence of abdominal aortic aneurysm.腹主动脉瘤的尸检发病率。
Proc R Soc Med. 1965 Nov;58(11 Part 1):869-70. doi: 10.1177/003591576505811P109.
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Br J Surg. 1985 Nov;72(11):851-2. doi: 10.1002/bjs.1800721102.
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How much can the NHS afford to spend to save a life or avoid a severe disability?
Lancet. 1985 Jan 12;1(8420):89-91. doi: 10.1016/s0140-6736(85)91975-0.

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