Castleden W M, Mercer J C
Br J Surg. 1985 Feb;72(2):109-12. doi: 10.1002/bjs.1800720213.
All abdominal aortic aneurysms presenting to hospitals and coroners in Western Australia over an 11-year period (January 1971 to December 1981) have been reviewed. A total of 1237 abdominal aortic aneurysms were found. After age and sex standardization it was apparent that the prevalence of diagnosis of abdominal aortic aneurysms had increased from 74.8 per 100 000 to 117.2 per 100 000 for men over 55 years of age (increase of 56.7 per cent) and from 17.5 per 100 000 to 33.9 per 100 000 for women over 55 years of age (increase of 93.7 per cent) during this period. One hundred and twenty-three patients were identified by coroner's autopsy after sudden death from ruptured abdominal aortic aneurysms in whom there had been no previous diagnosis of abdominal aortic aneurysm. Between 1971 to 1981, 478 patients underwent surgery; 225 had elective resection of their aneurysm with a 4.0 per cent fatality rate, and 253 had emergency operations with a 31.2 per cent fatality rate. Seasonal variations contributing to the date of emergency presentation or death from rupture of abdominal aortic aneurysms indicated a possible influence of colder weather upon rupture. It is hoped that the information provided in this paper will be of use to surgeons and physicians involved in health care planning for similar populations.
对西澳大利亚州11年期间（1971年1月至1981年12月）医院和验尸官所接收的所有腹主动脉瘤病例进行了回顾。共发现1237例腹主动脉瘤。经过年龄和性别标准化后，明显可见55岁以上男性腹主动脉瘤的诊断患病率从每10万人74.8例增至每10万人117.2例（增长56.7%），55岁以上女性则从每10万人17.5例增至每10万人33.9例（增长93.7%）。有123例患者在腹主动脉瘤破裂突然死亡后经验尸官尸检确诊，此前他们未被诊断出患有腹主动脉瘤。1971年至1981年间，478例患者接受了手术；225例接受了择期动脉瘤切除术，病死率为4.0%，253例接受了急诊手术，病死率为31.2%。导致腹主动脉瘤破裂急诊就诊日期或死亡的季节变化表明，寒冷天气可能对破裂有影响。希望本文提供的信息能对参与类似人群医疗保健规划的外科医生和内科医生有所帮助。
