Petrovskiĭ B V, Kniazev M D, Iniushin V I, Martynov A A
Vestn Khir Im I I Grek. 1985 Sep;135(9):3-10.
Results of the surgical treatment of 107 patients with a complicated aneurysm of the abdominal aorta are presented. The general lethality for the period from 1966 to 1984 was 49,5%. In the recent years the postoperative lethality in patients with ruptured aneurysms has been reduced from 79,4% to 47,2%, in patients with threatening ruptures from 41,6% to 16%. The positive changes were due to a number of factors: less amount of prehospital diagnostic errors; earlier admission to the hospital, better urgent diagnosis of the abnormality by up-to-date non-invasive methods of examination (ultrasonic scanning, computer tomography, radionuclide angiography); using balloon catheters obturating the aorta above the ruptured aneurysm for temporary preoperative arrest of bleeding; selection of a less traumatic method of operation of the aneurysm resection without dissection of the aorta with intra-aortal prosthesis specific under conditions of the HBO-operating room; better resuscitation and anesthesiologic aid for this critical category of patients.
本文介绍了107例腹主动脉复杂动脉瘤患者的外科治疗结果。1966年至1984年期间的总死亡率为49.5%。近年来，破裂动脉瘤患者的术后死亡率已从79.4%降至47.2%，有破裂风险患者的术后死亡率从41.6%降至16%。这些积极变化得益于多种因素：院前诊断错误减少；更早入院，通过最新的非侵入性检查方法（超声扫描、计算机断层扫描、放射性核素血管造影）能更好地对异常情况进行紧急诊断；使用球囊导管在破裂动脉瘤上方阻塞主动脉，以便在术前临时止血；选择创伤较小的动脉瘤切除术方法，在高压氧手术室条件下不进行主动脉解剖，采用特定的主动脉内假体；为这类重症患者提供更好的复苏和麻醉辅助。
