Kadir S, Athanasoulis C A, Brewster D C, Moncure A C
Arch Surg. 1980 May;115(5):631-3. doi: 10.1001/archsurg.1980.01380050055012.
Twenty-nine patients had symptomatic pulsatile abdominal masses. Initially six patients underwent emergency surgical exploration without prior arteriography. An abdominal aortic aneurysm was found in only one patient. In the next 23 patients, in whom arteriography was performed, no aneurysm was detected and emergency surgery could be avoided. In patients with symptomatic pulsatile abdominal masses, in the absence of hypovolemic shock the initial diagnostic study should be abdominal angiography. It is an accurate and safe procedure, and supplies the necessary preoperative information should abdominal aortic surgery become necessary. If, however, no aneurysm is found, valuable information is still obtained with regard to the underlying disease process.
29例患者有症状性搏动性腹部肿块。最初，6例患者未先行动脉造影即接受了急诊手术探查。仅1例患者发现腹主动脉瘤。在接下来的23例进行了动脉造影的患者中，未检测到动脉瘤，从而避免了急诊手术。对于有症状性搏动性腹部肿块的患者，在无低血容量性休克的情况下，初始诊断检查应是腹部血管造影。这是一种准确且安全的检查方法，若有必要进行腹主动脉手术，它能提供必要的术前信息。然而，如果未发现动脉瘤，对于潜在的疾病进程仍可获得有价值的信息。
