Bosman C H, Stubbé L T
Neth J Surg. 1981 Oct;33(4):160-4.
The results of surgical treatment of 209 ruptured abdominal aortic aneurysms are reviewed. The mortality over the first period of ten years was 37.8% and over the second ten years 44.9%. An attempt was made to analyse the reasons for this somewhat disappointing experience, shared by other authors. The broader indications for surgical treatment and the rise in the average age of our patients at presentation may be partially responsible. This elderly aged group had a greater incidence of coexistent disease leading to increased postoperative complications. The duration of preoperative shock had a direct inverse relationship to mortality. It is stressed that, apart from close collaboration between surgeon and internist with early detection of many postoperative complications such as gastrointestinal bleeding, anuria or heart failure, correct and early diagnosis of the ruptured aneurysm offers the best chance for the improvement in the survival rate of these patients.
回顾了209例腹主动脉瘤破裂的手术治疗结果。头十年的死亡率为37.8%，后十年为44.9%。我们试图分析这种有些令人失望的情况的原因，其他作者也有同样的经历。手术治疗指征的扩大以及我们患者就诊时平均年龄的增加可能是部分原因。这个老年群体并存疾病的发生率更高，导致术后并发症增加。术前休克的持续时间与死亡率呈直接反比关系。需要强调的是，除了外科医生和内科医生密切合作以早期发现诸如胃肠道出血、无尿或心力衰竭等许多术后并发症外，对破裂动脉瘤的正确早期诊断为提高这些患者的生存率提供了最佳机会。
