隨著外科技術(shù)和圍手術(shù)期治療水平日益提高,腹主動脈瘤擇期手術(shù)治療死亡率已控制在5%以內(nèi)[1,2],但破裂腹主動脈瘤(ruptured abdominal aortic aneurysm,RAAA)的死亡率一直在40%~70%,如果包括尚未到達醫(yī)院的RAAA患者,死亡率可達80%~90%,RAAA被美國列為第13位死亡原因[2~4]。目前,及時準(zhǔn)確的診斷和快速有效的外科治療仍是降低RAAA死亡率的關(guān)鍵。......
引用本文: 趙紀春. 破裂腹主動脈瘤的診斷和外科治療. 中國普外基礎(chǔ)與臨床雜志, 2006, 13(6): 640-641. doi: 復(fù)制
1. | 趙紀春, 汪 靜, 金立人, 等. 腹主動脈瘤60例的診治經(jīng)驗 [J]. 中華普通外科雜志, 2003; 18(9)∶ 571. |
2. | Huber TS, Wang JG, Derrow AE, et al. Experience in the United States with intact abdominal aortic aneurysm repair [J]. J Vasc Surg, 2001; 33(2)∶ 304. |
3. | 趙紀春, 馬玉奎, 羅艷麗, 等. 破裂腹主動脈瘤的外科治療 [J]. 中華普通外科雜志, 2006; 21(7)∶ 470. |
4. | Bown MJ, Sutton AJ, Bell PR, et al. A meta-analysis of 50 years of ruptured abdominal aortic aneurysm repair [J].Br J Surg, 2002; 89(6)∶ 714. |
5. | Hardman DT, Fisher CM, Patel MI, et al. Ruptured abdominal aortic aneurysms: who should be offered surgery? [J]. J Vasc Surg, 1996; 23(1)∶ 123. |
6. | Adam DJ, Bradbury AW, Stuart WP, et al. The value of computed tomography in the assessment of suspected ruptured abdominal aortic aneurysm [J]. J Vasc Surg, 1998; 27(3)∶ 431. |
7. | Buket S, Atay Y, Islamoglu F, et al. Proximal clamping levels in abdominal aortic aneurysm surgery [J].Tex Heart Inst J, 1999; 26(4)∶ 264. |
8. | Vaddineni SK, Russo GC, Patterson MA, et al. Ruptured abdominal aortic aneurysm: a retrospective assessment of open versus endovascular repair [J]. Ann Vasc Surg, 2005; 19(6)∶ 782. |
9. | Lo A, Adams D. Ruptured abdominal aortic aneurysms: risk factors for mortality after emergency repair [J].N Z Med J, 2004; 117(1203)∶ U1100. |
- 1. 趙紀春, 汪 靜, 金立人, 等. 腹主動脈瘤60例的診治經(jīng)驗 [J]. 中華普通外科雜志, 2003; 18(9)∶ 571.
- 2. Huber TS, Wang JG, Derrow AE, et al. Experience in the United States with intact abdominal aortic aneurysm repair [J]. J Vasc Surg, 2001; 33(2)∶ 304.
- 3. 趙紀春, 馬玉奎, 羅艷麗, 等. 破裂腹主動脈瘤的外科治療 [J]. 中華普通外科雜志, 2006; 21(7)∶ 470.
- 4. Bown MJ, Sutton AJ, Bell PR, et al. A meta-analysis of 50 years of ruptured abdominal aortic aneurysm repair [J].Br J Surg, 2002; 89(6)∶ 714.
- 5. Hardman DT, Fisher CM, Patel MI, et al. Ruptured abdominal aortic aneurysms: who should be offered surgery? [J]. J Vasc Surg, 1996; 23(1)∶ 123.
- 6. Adam DJ, Bradbury AW, Stuart WP, et al. The value of computed tomography in the assessment of suspected ruptured abdominal aortic aneurysm [J]. J Vasc Surg, 1998; 27(3)∶ 431.
- 7. Buket S, Atay Y, Islamoglu F, et al. Proximal clamping levels in abdominal aortic aneurysm surgery [J].Tex Heart Inst J, 1999; 26(4)∶ 264.
- 8. Vaddineni SK, Russo GC, Patterson MA, et al. Ruptured abdominal aortic aneurysm: a retrospective assessment of open versus endovascular repair [J]. Ann Vasc Surg, 2005; 19(6)∶ 782.
- 9. Lo A, Adams D. Ruptured abdominal aortic aneurysms: risk factors for mortality after emergency repair [J].N Z Med J, 2004; 117(1203)∶ U1100.