Lindholt J S, Henneberg E W, Fasting H
Organkirurgisk afdeling, Viborg Sygehus.
Ugeskr Laeger. 1995 Dec 18;157(51):7146-8.
In order to analyze the possible benefits on the mortality of abdominal aortic aneurysms (AAA) in Viborg county from the establishment of a specialized vascular unit in the county, the periods just before (1986-1988) and just after (1989-1991) the start of the unit were reviewed. Three times as many operations for AAA (104/mill/yr) were carried out after the unit opened. Acute operations increased sevenfold. In 1986-1988 42 persons experienced rupture of AAA. Twenty-six (63%) died outside hospital. Thirteen (32%) died at primary receiving hospitals. Only three patients (7%) were operated. One survived, making the overall mortality 97.5%. The mortality in this period was 187/million persons over 50 years. In 1989-1991 39 persons experienced rupture. Eleven (28%) died outside hospital. Eight (20.5%) died at primary receiving hospitals. One died preoperatively on the vascular unit. Nineteen (49%) reached operation, 13 survived (33%) and six (15.4%) died postoperatively. The overall mortality was 67%, the mortality of AAA was 127/million persons over 50 years. Comparing the two periods, deaths, mortality and overall mortality due to ruptured AAA decreased by 32% after the introduction of the vascular unit.
为分析在维堡县设立专门血管科对该县腹主动脉瘤（AAA）死亡率可能产生的益处，回顾了该科室成立前（1986 - 1988年）和成立后（1989 - 1991年）的两个时期。该科室开业后，AAA手术量增加了两倍（每年每百万人104例）。急诊手术增加了七倍。1986 - 1988年，42人发生AAA破裂。26人（63%）在院外死亡。13人（32%）在初级接收医院死亡。仅3例患者（7%）接受了手术。1例存活，总体死亡率为97.5%。该时期50岁以上人群的死亡率为每百万人187例。1989 - 1991年，39人发生破裂。11人（28%）在院外死亡。8人（20.5%）在初级接收医院死亡。1人在血管科术前死亡。19人（49%）接受了手术，13人存活（33%），6人（15.4%）术后死亡。总体死亡率为67%，AAA死亡率为每百万人127例。比较这两个时期，引入血管科后，AAA破裂导致的死亡、死亡率和总体死亡率下降了32%。
