Neveu P, Reix T, Abet D, Moubarak E, Pietri J
J Chir (Paris). 1985 Aug-Sep;122(8-9):437-41.
Rupture of an abdominal aorta aneurysm was treated in 75 patients between 1969 and 1984. Global mortality was 70%, and factors influencing mortality, and its causes, are analyzed in this series. The presence and course of hemorrhagic shock is the essential prognostic factor, as well as the type of rupture. Mortality as a function of the groups varied between 27 and 90%. Causes of early mortality were directly related to collapse and its severity, other types of fatal complication being related to the patients general condition. Prognosis is improved by early diagnosis and rapidity of operative treatment. This series represents, in fact, only 36% of the total aneurysms operated upon during the same period, and a preventive surgical attitude is the only means of improving overall prognosis.
1969年至1984年间，75例腹主动脉瘤破裂患者接受了治疗。总体死亡率为70%，本系列分析了影响死亡率的因素及其原因。出血性休克的存在和病程是重要的预后因素，破裂类型也是如此。各分组的死亡率在27%至90%之间。早期死亡原因与休克及其严重程度直接相关，其他类型的致命并发症与患者的一般状况有关。早期诊断和手术治疗的快速性可改善预后。实际上，本系列仅占同期接受手术的所有动脉瘤的36%，采取预防性手术态度是改善总体预后的唯一方法。
