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腹部血管手术的术后并发症

Postoperative complications in abdominal vascular surgery.

作者信息

Lausten G S, Engell H C

出版信息

Acta Chir Scand. 1984;150(6):457-61.

PMID:6495976
Abstract

Two hundred patients who consecutively underwent abdominal vascular surgery were retrospectively studied with regard to early (less than 30 days) postoperative complications. The mortality was 4% after elective surgery and 30% after emergency surgery, which was chiefly for aortic aneurysm. The main causes of death were cardiac and renal diseases. Postoperative morbidity was mainly of cardiopulmonary or renal origin. Quantitatively, however (length of hospital stay), the foremost complications were local--haematoma, lymph fistula and necrosis in the incisions, especially in the groins. Against this background, the importance of scrupulous technique in vascular surgery is stressed.

摘要

对200例连续接受腹部血管手术的患者进行回顾性研究,以探讨术后早期(少于30天)并发症。择期手术后死亡率为4%,急诊手术后死亡率为30%,主要原因是主动脉瘤。主要死亡原因是心脏和肾脏疾病。术后发病主要源于心肺或肾脏。然而,从数量上看(住院时间),最主要的并发症是局部——血肿、淋巴瘘和切口坏死,尤其是腹股沟处。在此背景下,强调了血管手术中严格技术的重要性。

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