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[血管外科并入普通外科的科室中腹主动脉瘤手术——是否令人满意?]

[Surgery of abdominal aortic aneurysm in a department of vascular surgery integrated into a department of general surgery--is it satisfactory?].

作者信息

Lindholt J S, Sloth H, Henneberg E W, Fasting H

机构信息

Karkirurgisk afsnit, Skive Sygehus.

出版信息

Ugeskr Laeger. 1993 Nov 15;155(46):3743-6.

PMID:8256367
Abstract

Seventy-two operations for abdominal aortic aneurysm (AAA), i.e 104 per mill. per year, were carried out by a vascular surgical unit integrated into a general surgical department. Mortality rate for elective operation was 3.8%, for acute operation without rupture 3.8% and with rupture 31.6%. Fifty percent of patients with rupture reached operation, which gives an overall mortality of about 66% and an incidence of 56 per mill. per year. Twice as many acute operations were carried out in this area compared to the rest of Denmark, and no haemodialysis-demanding complications occurred. These observations suggest that short transfer time is an important prognostic factor when treating ruptured AAA.

摘要

一个并入普通外科的血管外科单元实施了72例腹主动脉瘤(AAA)手术,即每年每千人中有104例。择期手术的死亡率为3.8%,未破裂急性手术的死亡率为3.8%,破裂急性手术的死亡率为31.6%。50%的破裂患者接受了手术,这使得总体死亡率约为66%,年发病率为每千人56例。与丹麦其他地区相比,该地区实施的急性手术数量是其两倍,且未发生需要血液透析的并发症。这些观察结果表明,在治疗破裂性腹主动脉瘤时,较短的转运时间是一个重要的预后因素。

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