Zanetti P P, Rosa G, Sorisio V, Cavanenghi D, Amerio G M, Stillo R, Zappa A, Cardellino S, Franco M, Muncinelli M
Dipartimento di Chirurgia, Azienda Ospedaliera Regionale Generale, Asti.
G Ital Cardiol. 1997 Jul;27(7):682-5.
The Authors show their casistic of about 105 cases of thoracic descending and thoraco-abdominal aorta pathologies between 1.1.1993 and 30.12.1995. After a short introduction about the improvements in anesthesia and reanimation of these pathologies as well as the good reliability of diagnostic and currently available instruments, mortality and mobility parameters are taken into account, the last one referring to paraplegia and ARF. The casistic is evaluated splitting the cases into 2 groups, urgent surgery and election surgery, and differentiating the aneurysm type from the dissection type. Besides, the mortality and mobility are reported for any pathology, with a discussion of the parameters which drove the choice of the most suitable methodology to be adopted (ECC femoro-subclavian shunt, simple clamping). The results achieved show a mortality of 40% in urgency, between 5 and 15% in election, with a rate of paraplegia around 8-10% and a ARF between 5 and 15%. These data match the literature statistics and support the quality of the adopted methodologies.
作者展示了1993年1月1日至1995年12月31日期间约105例胸降主动脉和胸腹主动脉病变的病例。在简短介绍了这些病变在麻醉和复苏方面的进展以及诊断和现有仪器的良好可靠性之后，考虑了死亡率和活动参数，后者指截瘫和急性肾衰竭。将病例分为紧急手术和择期手术两组进行评估，并区分动脉瘤类型和夹层类型。此外，报告了每种病变的死亡率和活动情况，并讨论了决定采用最合适方法（体外循环股动脉-锁骨下动脉分流、单纯夹闭）的参数。结果显示，紧急手术的死亡率为40%，择期手术的死亡率为5%至15%，截瘫发生率约为8%至10%，急性肾衰竭发生率为5%至15%。这些数据与文献统计数据相符，并支持所采用方法的质量。
