摘要
目的 探讨主-髂动脉瘤破裂的救治经验.方法 对8例破裂性主-髂动脉瘤患者的临床资料进行回顾性分析.其中6例患者采用开腹手术救治：紧急分别阻断胸降主动脉、膈下腹主动脉、或肾下腹主动脉以止血,自体出血回输装置进行自体输血,人工血管置换（其中1例单纯破口修补）.结果 6例手术患者均存活,随访3~48个月,平均（24±2）个月,随访期间无死亡.术前死亡2例：1例为动脉瘤忽然发生破裂入腹腔,血压测不到,经抢救无效;另1例为伴有严重低血压的老年患者,低血压时间超过6换h以上,在准备手术时循环功能衰竭死亡.结论手术仍是治疗主髂动脉瘤破裂的主要方法.早期诊断,适时复苏,急诊外科手术,是降低病死率的关键.
Objective To summarize and discuss the surgical treatment of ruptured abdominal aortic aneurysm or ruptured iliac aneurysm. Methods Clinical data of 8 patients with ruptured arterial aneurysm or ruptured iliac aneurysm treated were retrospectively analyzed. Among the 8 patients,6 underwent laparotomy for blocking descending thoracic aorta, subphrenic aorta or infrarenal abdominal aorta, and received autohemotransfusion and vascular prosthesis replacement （1 patient received simple rupture repair）. Results All the 6 patients who underwent laparotomy survived without death during an average follow-up of （24±2） months （range,3 to 48 months）. Two patients died before operation. One of them died of the rupture of abdominal aortic aneurysm into the peritoneal cavity during rescue period. Another elderly patient with severe hypotension for more than 6 hours died of circulation function failure in preparation for surgery. Conclusion Surgical treatment is still the main method to treat the ruptured abdominal aortic aneurysm or ruptured iliac aneurysm. Early diagnosis, appropriate resuscitation and urgent surgical repair are crucial to reduce the mortality rate from the disease.
出处
《南昌大学学报（医学版）》
CAS
2013年第11期49-51,共3页
Journal of Nanchang University：Medical Sciences
关键词
动脉瘤
破裂
外科手术
腹主动脉瘤
髂动脉瘤
aneurysm
rupture
surgical operation
aortic aneurysm
iliac aneurysm
