• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

巨大型，直径20厘米，破裂性腹主动脉瘤：一例报告

Giant, 20 cm Diameter, Ruptured Abdominal Aortic Aneurysm: A Case Report.

作者信息

Duijzer Cathelijne, Schuurs Thomas C, Wisselink Willem

机构信息

Emergency Department, Spaarne Gasthuis, The Netherlands.

Emergency Department, Amsterdam UMC, The Netherlands.

出版信息

EJVES Short Rep. 2018 Dec 29;42:18-20. doi: 10.1016/j.ejvssr.2018.11.005. eCollection 2019.

DOI:10.1016/j.ejvssr.2018.11.005
PMID:30734005
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6357693/
Abstract

INTRODUCTION

The rupture risk of abdominal aortic aneurysms (AAAs) depends primarily on their diameter and increases exponentially with aneurysm growth. Therefore, giant AAAs, defined as > 13.0 cm in diameter, are rare clinical entities.

REPORT

A giant ruptured AAA that measured >20 cm in diameter was successfully treated by open repair.

CONCLUSION

It remains unclear why giant AAAs continue to grow to extreme size without rupturing. Open repair seems to be the treatment of choice for most giant aneurysms, both ruptured and unruptured.

摘要

引言

腹主动脉瘤（AAA）的破裂风险主要取决于其直径，并随动脉瘤的生长呈指数级增加。因此，直径大于13.0厘米的巨大AAA是罕见的临床病例。

报告

一例直径大于20厘米的巨大破裂性AAA通过开放修复成功治疗。

结论

目前尚不清楚为什么巨大AAA会持续生长到极大尺寸而不破裂。对于大多数巨大动脉瘤，无论是破裂的还是未破裂的，开放修复似乎都是首选的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0c3/6357693/1b4b00726a68/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0c3/6357693/ea4be8642b9f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0c3/6357693/1b4b00726a68/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0c3/6357693/ea4be8642b9f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0c3/6357693/1b4b00726a68/gr2.jpg

相似文献

1
Giant, 20 cm Diameter, Ruptured Abdominal Aortic Aneurysm: A Case Report.巨大型，直径20厘米，破裂性腹主动脉瘤：一例报告
EJVES Short Rep. 2018 Dec 29;42:18-20. doi: 10.1016/j.ejvssr.2018.11.005. eCollection 2019.
2
Endovascular repair of abdominal aortic aneurysm: an evidence-based analysis.腹主动脉瘤的血管内修复：一项基于证据的分析。
Ont Health Technol Assess Ser. 2002;2(1):1-46. Epub 2002 Mar 1.
3
Giant abdominal aortic aneurysms.巨大腹主动脉瘤
J Vasc Surg Cases Innov Tech. 2021 May 20;7(4):659-664. doi: 10.1016/j.jvscit.2021.04.016. eCollection 2021 Dec.
4
Repeat Rupture of a Giant Abdominal Aortic Aneurysm after EVAR.腔内修复术后巨大腹主动脉瘤的反复破裂
EJVES Short Rep. 2019 Jan 21;42:15-17. doi: 10.1016/j.ejvssr.2018.12.001. eCollection 2019.
5
Outcomes for symptomatic abdominal aortic aneurysms in the American College of Surgeons National Surgical Quality Improvement Program.美国外科医师学会国家外科质量改进计划中症状性腹主动脉瘤的治疗结果。
J Vasc Surg. 2016 Aug;64(2):297-305. doi: 10.1016/j.jvs.2016.02.055. Epub 2016 Apr 14.
6
Characteristics and outcomes of small abdominal aortic aneurysm rupture in the American College of Surgeons National Surgical Quality Improvement Program database.美国外科医师学院国家外科质量改进计划数据库中小腹主动脉瘤破裂的特征和结局。
J Vasc Surg. 2021 Sep;74(3):729-737. doi: 10.1016/j.jvs.2021.01.063. Epub 2021 Feb 19.
7
Giant abdominal aortic aneurysms: clinical and technical considerations.
Acta Chir Belg. 2009 May-Jun;109(3):376-80. doi: 10.1080/00015458.2009.11680442.
8
Systematic review and meta-analysis of the growth and rupture rates of small abdominal aortic aneurysms: implications for surveillance intervals and their cost-effectiveness.系统评价和荟萃分析小的腹主动脉瘤的生长和破裂率：对监测间隔及其成本效益的影响。
Health Technol Assess. 2013 Sep;17(41):1-118. doi: 10.3310/hta17410.
9
Reconsidering gender relative to risk of rupture in the contemporary management of abdominal aortic aneurysms.在腹主动脉瘤当代管理中重新审视性别与破裂风险的关系。
J Vasc Surg. 2015 Dec;62(6):1429-36. doi: 10.1016/j.jvs.2015.07.079. Epub 2015 Sep 26.
10
Endovascular aneurysm repair at 5 years: Does aneurysm diameter predict outcome?5年血管内动脉瘤修复术：动脉瘤直径能预测预后吗？
J Vasc Surg. 2006 Nov;44(5):920-29; discussion 929-31. doi: 10.1016/j.jvs.2006.06.048.

引用本文的文献

1
Giant abdominal aortic aneurysms.巨大腹主动脉瘤
J Vasc Surg Cases Innov Tech. 2021 May 20;7(4):659-664. doi: 10.1016/j.jvscit.2021.04.016. eCollection 2021 Dec.

本文引用的文献

1
The Abdominal Aortic Aneurysm and Intraluminal Thrombus: Current Concepts of Development and Treatment.腹主动脉瘤与腔内血栓：当前的发病机制与治疗理念。
Front Cardiovasc Med. 2015 May 26;2:19. doi: 10.3389/fcvm.2015.00019. eCollection 2015.
2
Giant Abdominal Aortic Aneurysms: A Case Series and Review of the Literature.巨大腹主动脉瘤：病例系列及文献综述
Vasc Endovascular Surg. 2015 Nov;49(8):242-6. doi: 10.1177/1538574415617554.
3
Systematic review and meta-analysis of migration after endovascular abdominal aortic aneurysm repair.
腹主动脉瘤腔内修复术后移植物移位的系统评价与Meta分析
Vascular. 2016 Jun;24(3):323-36. doi: 10.1177/1708538115590065. Epub 2015 Jun 8.
4
Relative importance of aneurysm diameter and body size for predicting abdominal aortic aneurysm rupture in men and women.男性和女性腹主动脉瘤破裂的预测中，瘤体直径和身体大小的相对重要性。
J Vasc Surg. 2014 May;59(5):1209-16. doi: 10.1016/j.jvs.2013.10.104. Epub 2013 Dec 30.
5
Guidelines for the treatment of abdominal aortic aneurysms. Report of a subcommittee of the Joint Council of the American Association for Vascular Surgery and Society for Vascular Surgery.腹主动脉瘤治疗指南。美国血管外科学会和血管外科学会联合委员会小组委员会报告。
J Vasc Surg. 2003 May;37(5):1106-17. doi: 10.1067/mva.2003.363.
6
Prediction of rupture risk in abdominal aortic aneurysm during observation: wall stress versus diameter.观察期间腹主动脉瘤破裂风险的预测：壁应力与直径的比较。
J Vasc Surg. 2003 Apr;37(4):724-32. doi: 10.1067/mva.2003.213.
7
Mechanical wall stress in abdominal aortic aneurysm: influence of diameter and asymmetry.腹主动脉瘤的机械壁应力：直径和不对称性的影响。
J Vasc Surg. 1998 Apr;27(4):632-9. doi: 10.1016/s0741-5214(98)70227-7.