Courbier R, Jausseran J M, Reggi M, Dubouloz M, Ricci M
Arch Mal Coeur Vaiss. 1977 Nov;70(11):1189-95.
A series of 100 consecutive patients operated on for an abdominal aortic aneurysm, whether cold or as emergency, but excluding those cases with circulatory collapse, has enabled us to define the post-operative prognosis after a follow-up of a maximum of ten years. The operative mortality of 12% was due essentially to coronary and renal complications. All of the survivors, except one, were available for review. Five years after the operation 64% were still alive, and the figure was 46% at eight years. These figures confirm the indication for systematic surgical treatment as soon as an aneurysm is discovered, unless any of the contra-indications which are discussed are present. The best method of following up small aneurysms (with a diameter of less than 6 cms) discovered in elderly subjects would be by echotomography.
对100例连续接受腹主动脉瘤手术的患者进行了研究，这些患者无论手术时采用低温技术还是作为急诊手术，但不包括循环衰竭的病例，经过最长十年的随访，使我们能够确定术后预后情况。12%的手术死亡率主要归因于冠状动脉和肾脏并发症。除1例幸存者外，其他所有幸存者均接受了复查。术后五年，64%的患者仍存活，八年时这一数字为46%。这些数据证实，一旦发现动脉瘤，除非存在文中讨论的任何禁忌症，应立即进行系统的手术治疗。对于在老年患者中发现的小动脉瘤（直径小于6厘米），最佳的随访方法是超声断层扫描。
