破裂性腹主动脉瘤——一个诊断难题。

Can Med Assoc J. 1971 Oct 23;105(8):811-5.

The ruptured abdominal aortic aneurysm continues to be a diagnostic problem. Review of 187 cases admitted to the Vancouver General Hospital showed that 92 cases were operated on. Of this surgical group, the diagnosis was correct in 61 and missed in 31 (34%). In the group which did not come to operation the condition was diagnosed correctly in 38, while in 57 (60%) it was completely unsuspected. The effects of early and late diagnosis and misdiagnosis were reflected in the increasing mortality rate of 46, 55 and 100% respectively. Means of improving the accuracy of diagnosis in this condition are discussed.

破裂性腹主动脉瘤仍然是一个诊断难题。回顾温哥华总医院收治的187例病例发现，其中92例接受了手术。在这个手术组中，61例诊断正确，31例（34%）漏诊。在未接受手术的病例组中，38例诊断正确，而57例（60%）完全未被怀疑患病。早期诊断、晚期诊断及误诊的影响分别体现在死亡率的上升上，死亡率分别为46%、55%和100%。本文讨论了提高这种疾病诊断准确性的方法。