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301例接受腹主动脉瘤手术患者的死亡时间及死因

Time and cause of death for 301 patients operated on for abdominal aortic aneurysms.

作者信息

Søreide O, Grimsgaard C, Myhre H O, Solheim K, Trippestad A

出版信息

Age Ageing. 1982 Nov;11(4):256-60. doi: 10.1093/ageing/11.4.256.

DOI:10.1093/ageing/11.4.256
PMID:7180729
Abstract

Time and cause of death were studied in 301 patients operated on for an abdominal aortic aneurysm (AA). The hospital mortality rate was 4% for electively operated patients, 19% for patients with impending rupture, and 58% for those with a ruptured aneurysm. The one- and five-year survival rates were 94% and 68% for the elective group, 70% and 44% for those with impending rupture, and 41% and 31% for patients with a ruptured aneurysm. Of all inpatient deaths, 20% were caused by multi-organ failure. Cardiovascular deaths accounted for 71% of all deaths in patients with AA. 'Sudden death' (cause not known) occurred in 6.6% of all deaths, and in 18% of the late deaths. Although survival probabilities for patients operated on for AA are good if the patients survive the operation and the immediate postoperative period, we found that the majority of deaths were caused by cardiovascular diseases.

摘要

对301例接受腹主动脉瘤(AA)手术的患者的死亡时间和原因进行了研究。择期手术患者的医院死亡率为4%,濒临破裂患者为19%,动脉瘤破裂患者为58%。择期手术组的1年和5年生存率分别为94%和68%,濒临破裂患者为70%和44%,动脉瘤破裂患者为41%和31%。在所有住院死亡病例中,20%由多器官功能衰竭导致。心血管疾病死亡占腹主动脉瘤患者所有死亡病例的71%。“猝死”(原因不明)占所有死亡病例的6.6%,占晚期死亡病例的18%。虽然接受腹主动脉瘤手术的患者如果能挺过手术及术后早期,生存概率良好,但我们发现大多数死亡是由心血管疾病引起的。

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Time and cause of death for 301 patients operated on for abdominal aortic aneurysms.301例接受腹主动脉瘤手术患者的死亡时间及死因
Age Ageing. 1982 Nov;11(4):256-60. doi: 10.1093/ageing/11.4.256.
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Long-Term Outcomes After Open Repair for Ruptured Abdominal Aortic Aneurysm.开放性腹主动脉瘤破裂修复术后的长期结果。
World J Surg. 2020 Jun;44(6):2020-2027. doi: 10.1007/s00268-020-05457-7.
2
Bowel ischaemia and organ impairment in elective abdominal aortic aneurysm repair.择期腹主动脉瘤修复术中的肠缺血与器官损害
Br J Surg. 1994 Jul;81(7):965-8. doi: 10.1002/bjs.1800810712.
3
The mortality of abdominal aortic aneurysm.腹主动脉瘤的死亡率。
Ann R Coll Surg Engl. 1986 Sep;68(5):275-8.
4
The spontaneous course of small abdominal aortic aneurysms. Aneurysmal growth rates and life expectancy.
Klin Wochenschr. 1991 Sep 16;69(14):633-9. doi: 10.1007/BF01649423.