Petracek M R, Lawson J D, Rhea W G, Richie R E, Dean R H
South Med J. 1980 May;73(5):579-81. doi: 10.1097/00007611-198005000-00009.
We reviewed the risk of resecting an abdominal aortic aneurysm in 38 patients aged 80 years or older. The operative mortality for an elective aneurysm was 5.2%, for symptomatic but nonruptured aneurysm 26.6%, and for ruptured aneurysm 66.7%. The preoperative risk factors were essentially the same for the elective and ruptured group. Several of the patients with ruptured aneurysm had been followed up with their aneurysm for several years by nonsurgeons. To better understand why these patients were not being referred for elective repair, 100 nonsurgeons were sent a questionnaire concerning abdominal aortic aneurysms in octogenarians. The results showed that 81% overestimated the elective operative mortality and as a result did not recommend elective resection.
我们回顾了38例80岁及以上患者腹主动脉瘤切除术的风险。择期动脉瘤手术死亡率为5.2%，有症状但未破裂动脉瘤为26.6%，破裂动脉瘤为66.7%。择期组和破裂组的术前危险因素基本相同。一些破裂动脉瘤患者由非外科医生随访动脉瘤数年。为了更好地理解这些患者未被转诊进行择期修复的原因，向100名非外科医生发送了一份关于八旬老人腹主动脉瘤的问卷。结果显示，81%的人高估了择期手术死亡率，因此不建议进行择期切除。
