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腹主动脉瘤破裂危险因素分析 被引量:4

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摘要 目的:讨论腹主动脉瘤破裂的危险因素。方法:选择2006年1月-2011年6月笔者所在医院收治的腹主动脉瘤破裂手术患者42例,通过单因素和多因素方法分析术前合并症、年龄、性别、手术时间、输血量、低血压情况等因素,总结影响腹主动脉瘤破裂手术预后的危险因素。结果:20例患者在术后1个月内死亡,病死率为47.62%。单因素分析表明:冠心病、COPD、肾功能不全、年龄≥70岁、瘤体直径≥5cm、术前低血压情况是主要的危险因素,其P值分别为0.023、0.009、0.023、0.009、0.013、0.037,均小于0.05;多因素分析则表明:年龄≥70岁、低血压持续时间≥2h、术前冠心病是主要的危险因素。结论:高龄老人、低血压持续时间过长以及术前合并冠心病对腹主动脉瘤破裂患者手术预防具有较强的干扰。通过有效预防低血压,可以较好的提高手术效果。
出处 《中国医学创新》 CAS 2013年第2期144-145,共2页 Medical Innovation of China
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  • 1王振香,赵林,常海玲.腹主动脉瘤病人人工血管置换术的手术配合[J].护理学杂志(综合版),2004,19(4):60-61. 被引量:3
  • 2刘长建.腹主动脉瘤的外科治疗现状[J].中国实用外科杂志,2006,26(10):798-800. 被引量:13
  • 3Newman AB, Arnold AM, Burke GL, et al. Cardiovascular disease and mortality in older adults with small abdominal aortic aneurysms detected by ultrasonography: the cardiovascular health study. Ann Intern Med, 2001,134(3):182- 190.
  • 4Karkos CD, Mukhopadhyay U, Papakostas I, et al. Abdominal aortic aneurysm: the role of clinical examination and opportunistic detection. Eur J Vasc Endovasc Surg, 2000, 19(3) :299-303.
  • 5Conway KP, Byrne J, Townsend M, et al. Prognosis of patients turned down for conventional abdominal aortic aneurysm repair in the endovascular and sonographic era: Szilagyi revisited? J Vasc Surg, 2001,33(4) :752-757.
  • 6Finol EA, Keyhani K, Amo CH. The effect of asymmetry in abdominal aortic aneurysm under physiologically realistic pulsatile flow conditions. J Biomech Eng, 2003,125(2) :207-217.
  • 7Fillinger MF, Marra SP, Raghavan ML, et al. Prediction of rupture in abdominal aortic aneurysm during observation : Wall stress versus diameter. J Vasc Surg, 2003,37(4):724- 732.
  • 8Thubrikar MJ, Labrosse M, Robicsek F, et al. Mechanical properties of abdominal aortic ansuerysm wall. J Med Eng Technol, 2001,25(4) : 133-142.
  • 9Hallin A, Bergqvist D, Holmberg L. Literature review of surgical management of abdominal aortic aneurysm. Eur J Vase Endo vase Surg, 2001,22(3) : 197-204.
  • 10Brown PM, Zelt DT, Sobolev B. The risk of rupture in untreated aneurysms: the impact of size, gender, and expansion rate. J Vase Surg, 2003,37(2):280- 284.

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  • 1孙含蓄,冯丽霞.32例颅内动脉瘤显微手术治疗[J].河南外科学杂志,2010,16(2):16-18. 被引量:2
  • 2赵纪春,马玉奎,黄斌,杨轶.破裂腹主动脉瘤的外科救治体会[J].中国血管外科杂志(电子版),2009,1(2):100-102. 被引量:5
  • 3叶财盛,李松奇,李晓曦,吕伟明,常光其,叶润仪,王深明.腹主动脉瘤破裂的处理及预后分析[J].中华普通外科杂志,2007,22(5):338-340. 被引量:12
  • 4Yusuf SW,Whitaker SC,Chuter TA,et al.Emergency endovascular repair of leaking aortic aneurysm[J].Lancet,1994,344 (8937):1645.
  • 5Reimerink JJ,Hoornweg LL,Vahl AC,et al.Endovascular repair versus open repair of ruptured abdominal aortic aneurysms:a multicenter randomized controlled trial[J].Ann Surg,2013,258 (2):248-256.
  • 6Starnes BW,Quiroga E,Hurter C,et al.Management of ruptured abdominal aortic aneurysm in the endovascular era[J].J Vasc Surg,2010,51 (1):9-18.
  • 7Visser J J,Williams M,Kievit J,et al.Prediction of 30-day mortality after endovascular repair or open surgery in patients with ruptured abdominal aortic aneurysms[J].J Vasc Surg,2009,49 (5):1093-1099.
  • 8Makar RR,Badger SA,O' Donnell ME,et al.The effects of abdominal compartment hypertension after open and endovascular repair of a ruptured abdominal aortic aneurysm[J].J Vasc Surg,2009,49 (4):866-872.
  • 9Mehta M,Byrne J,Darling Ⅲ RC,et al.Endovascular repair of ruptured infrarenal abdominal aortic aneurysm is associated with lower 30-day mortality and better 5-year survival rates than open surgical repair[J].J Vasc Surg,2013,57 (2):368-375.
  • 10Saqib N,Park SC,Park T,et al.Endovascular repair of ruptured abdominal aortic aneurysm does not confer survival benefits over open repair[J].J Vasc Surg,2012,56 (3):614-619.

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