• 四川大學(xué)華西醫(yī)院血管外科(成都610041);

隨著外科技術(shù)和圍手術(shù)期治療水平日益提高,腹主動(dòng)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(dòng)脈瘤(ruptured abdominal aortic aneurysm,RAAA)的死亡率一直在40%~70%,如果包括尚未到達(dá)醫(yī)院的RAAA患者,死亡率可達(dá)80%~90%,RAAA被美國列為第13位死亡原因[2~4]。目前,及時(shí)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(jì)春. 破裂腹主動(dòng)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(jì)春, 汪 靜, 金立人, 等. 腹主動(dòng)脈瘤60例的診治經(jīng)驗(yàn) [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(jì)春, 馬玉奎, 羅艷麗, 等. 破裂腹主動(dòng)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. 1.  趙紀(jì)春, 汪 靜, 金立人, 等. 腹主動(dòng)脈瘤60例的診治經(jīng)驗(yàn) [J]. 中華普通外科雜志, 2003; 18(9)∶ 571.
  2. 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. 3.  趙紀(jì)春, 馬玉奎, 羅艷麗, 等. 破裂腹主動(dòng)脈瘤的外科治療 [J]. 中華普通外科雜志, 2006; 21(7)∶ 470.
  4. 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. 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. 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. 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. 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. 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.