Egloff L, Dimai W, Schneider E, Kugelmeier J, Turina M, Senning A
Schweiz Med Wochenschr. 1983 Feb 12;113(6):208-11.
During 1980 and 1981, 36 patients aged 70 years or older were operated on for abdominal aortic aneurysm. The aneurysm was already ruptured in almost half of the patients. Eight patients died early (22%), of whom 7 were operated on because of perforation. Main cause of early death was cardiac failure (5). During an average observation period of 12 months, 4 patients died late and 4 claimed unsatisfactory recovery. All patients over 70 years of age with abdominal aortic aneurysm should be investigated with respect to operability. The risk in elective surgery is low and the postoperative prognosis for these patients is good. Surgery for ruptured aneurysm still carries high operative mortality in this age group and a poor longterm prognosis.
1980年至1981年期间，36例70岁及以上的患者接受了腹主动脉瘤手术。几乎一半的患者动脉瘤已经破裂。8例患者早期死亡（22%），其中7例因穿孔接受手术。早期死亡的主要原因是心力衰竭（5例）。在平均12个月的观察期内，4例患者晚期死亡，4例恢复情况不理想。所有70岁以上的腹主动脉瘤患者都应接受手术可行性评估。择期手术的风险较低，这些患者的术后预后良好。在这个年龄组中，破裂动脉瘤的手术死亡率仍然很高，长期预后也很差。
