Matta A, Baele P, Van Dyck M, Goenen M, Ponlot R
Service d'Anesthèsiologie, Cliniques Universitaires Saint-Luc, U.C.L. Bruxelles.
Acta Chir Belg. 1988 Mar-Apr;88(2):105-10.
Surgical risk factors of abdominal aortic disease. Between January 1, 1982 and October 1986, 327 surgical repairs were performed on abdominal aortic obstructive diseases and aneurysms at the St. Luc University Hospital. 150 pre-, per- and postoperative data were collected retrospectively for each patient. Ninety-one per cent of patients were smokers, 57.5 per cent had heart disease, 43 per cent arterial hypertension, 51 per cent peripheral vascular disease and 28 percent had obstructive lung disease. Concerning cardiac morbidity, the post-operative infarction rate was 4.4 per cent in patients who had previously suffered from an infarction, and 1.9 per cent in patients with no previous infarction. Post-operative angina-ischemia rate were respectively 23 and 4.7 per cent. Two hundred and thirty two elective operations resulted in 6 deaths (2.6 per cent) while 95 emergency operations resulted in 34 deaths (35.8 per cent). The causes of the death and the post-operative complications are detailed. The decrease of the morbidity and the mortality rates inherent to this pathology depends on an early diagnosis and surgical treatment by a team, knowledgeable of this pathology, who are able to prevent and correctly treat the complications, especially those affecting the cardiovascular system.
腹主动脉疾病的手术风险因素。1982年1月1日至1986年10月期间，圣吕克大学医院对腹主动脉阻塞性疾病和动脉瘤进行了327例手术修复。对每位患者回顾性收集150份术前、术中和术后数据。91%的患者吸烟，57.5%患有心脏病，43%患有动脉高血压，51%患有外周血管疾病，28%患有阻塞性肺病。关于心脏发病率，既往有心肌梗死的患者术后梗死率为4.4%，既往无心肌梗死的患者为1.9%。术后心绞痛 - 缺血率分别为23%和4.7%。232例择期手术导致6例死亡（2.6%），而95例急诊手术导致34例死亡（35.8%）。详细列出了死亡原因和术后并发症。这种疾病所固有的发病率和死亡率的降低取决于早期诊断以及由熟悉该疾病的团队进行手术治疗，该团队能够预防并正确处理并发症，尤其是那些影响心血管系统的并发症。
