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通过结扎主动脉及腋-双股动脉旁路移植术治疗破裂性腹主动脉瘤。

Ruptured abdominal aortic aneurysm treated by ligation of the aorta and an axillobifemoral bypass.

作者信息

Corbett C R, Chilvers A S

出版信息

J Cardiovasc Surg (Torino). 1984 Nov-Dec;25(6):510-2.

PMID:6239869
Abstract

Although a few elderly patients do survive operation for a ruptured aortic aneurysm mortality in patients over 70 years of age is very high. An alternative operation to conventional Dacron replacement of the aorta has been devised. This involves occlusion of the infrarenal aorta and iliac arteries with large plastic clips and insertion of a Dacron axillobifemoral graft. Eight patients with a mean age of 71 years were so treated. Half of them left hospital alive. We consider the results justify further use of this operation in selected patients.

摘要

虽然少数老年患者在接受主动脉瘤破裂手术后确实存活下来,但70岁以上患者的死亡率非常高。已经设计出一种替代传统涤纶置换主动脉的手术。该手术包括用大的塑料夹夹住肾下腹主动脉和髂动脉,并插入涤纶腋双股移植物。对8名平均年龄为71岁的患者进行了这种治疗。其中一半患者出院时还活着。我们认为这些结果证明在选定的患者中进一步使用这种手术是合理的。

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