Trueblood H W, Williams D K, Gustafson J R
Am Surg. 1976 Jul;42(7):535-7.
Four cases of ruptured abdominal aortic aneurysms as a postoperative complication are reported. This represents a 24 per cent mortality for elective operation in patients with known abdominal aortic aneurysm. Three cases followed resection of abdominal malignancy. The possibility exists that subtle trauma during operative manipulation may have heightened the risk of rupture. The risk to life from large abdominal aortic aneurysms (more than 6 cm) exceeds the risk of most malignancies. Abdominal aortic aneurysm should be resected first when co-incidental to a malignancy, unless the malignancy is complicated by hemorrhage, obstruction or perforation.
本文报告了4例腹主动脉瘤破裂作为术后并发症的病例。这代表了已知患有腹主动脉瘤患者择期手术的死亡率为24%。3例发生在腹部恶性肿瘤切除术后。手术操作过程中的细微创伤可能增加了破裂风险。大型腹主动脉瘤（超过6厘米）带来的生命风险超过了大多数恶性肿瘤的风险。当腹主动脉瘤与恶性肿瘤并存时，应首先切除腹主动脉瘤，除非恶性肿瘤伴有出血、梗阻或穿孔并发症。
