Becker H M, Stelter W J
Fortschr Med. 1983 Sep 15;101(35):1568-71.
According to experiences in treating more than 400 patients with abdominal aortic aneurysms (AAA) following statements can be made: 1. Diagnosis of an AAA is identical with indication for surgical treatment. Only in cases of extremely high operative risk (aggravating organ deficiencies especially of heart and lungs) an expectant attitude is justified. 2. Preoperative angiography is considered to be desirable. 3. Rupture of the aneurysm depends on size and form, but small sized aneurysms can rupture as well. 4. It is of advantage to have the patients prepared preoperatively for several days for minimizing the operative risk. 5. Long follow-up results are good, the operation is able to prolong life expectancy of these patients.
根据治疗400多名腹主动脉瘤（AAA）患者的经验，可得出以下结论：1.腹主动脉瘤的诊断与手术治疗指征相同。只有在手术风险极高（尤其是心肺等重要器官功能严重不全）的情况下，采取保守观察才是合理的。2.术前血管造影被认为是有必要的。3.动脉瘤破裂取决于其大小和形态，但小尺寸的动脉瘤也可能破裂。4.让患者术前准备几天以降低手术风险是有益的。5.长期随访结果良好，手术能够延长这些患者的预期寿命。
