Johansson G, Swedenborg J
Br J Surg. 1986 Feb;73(2):101-3. doi: 10.1002/bjs.1800730205.
The incidence of ruptured abdominal aortic aneurysms (AAA) during 1980 in the Stockholm county and the clinical fate of the patients were evaluated. Eighty-eight patients with ruptured AAA were found, an incidence of 0.06 per thousand. The overall mortality was 94 per cent. Sixty-four patients reached hospital, twenty-three received a correct diagnosis; thirteen were operated upon and five survived. Autopsy or operation revealed that most ruptures were retroperitoneal (88 per cent) and that only two aneurysms (2 per cent) extended above the renal arteries. It is concluded that the high mortality rate following rupture is more dependent upon failure to operate than on operative mortality.
评估了1980年斯德哥尔摩郡腹主动脉瘤（AAA）破裂的发生率以及患者的临床转归。发现88例AAA破裂患者，发生率为千分之0.06。总死亡率为94%。64例患者送达医院，23例得到正确诊断；13例接受手术，5例存活。尸检或手术显示，大多数破裂为腹膜后破裂（88%），只有两个动脉瘤（2%）延伸至肾动脉上方。得出的结论是，破裂后的高死亡率更多地取决于未能进行手术而非手术死亡率。
