摘要
目的 探讨提高破裂性腹主动脉瘤救治成功率的途径和方法。方法 通过胸腹联合切口阻断瘤体近远端和自体血回输等技术 ,救治破裂性腹主动脉瘤患者 12例。结果 术后存活 8例 ,手术成功率为6 7%。 2例在术中因休克时间过长而死亡。另 2例在术后两周内因并发肾功能衰竭和弥漫性血管内凝血等严重并发症而死亡。结论 对破裂性腹主动脉瘤及早诊断并手术、术中缩短手术时间、尽量回输自体内、减少异体血输注量 。
Objective To investigate the measures to decrease the operation mortality of ruptured abdominal aortic aneurysm(rAAA)patients.Methods 12 patients with rAAA underwent emergent laparotomy.During the operations,autologous blood transfusions(from 800 to 8400ml)were done in 10 patients,and the aorta proximal to the ruptured aneurysms were cross-clamped in the level of descending aorta through the combined thoracic-abdominal incisions in 6 patients.Results Among the 12 patients with rAAA who underwent operations,two died during the operation because of persistent hypotension,and another two died in-hospital because of sever comlications,such as acute renal failure and DIC.The remaining were discharged alive.Conclusion Early diagnosis of and operation on rAAA,minimal aortic cross-clamping time,less blood loss and autologous blood transfusions,and a shorter operation time can improve the success rate.
出处
《中华急诊医学杂志》
CAS
CSCD
2003年第8期533-534,共2页
Chinese Journal of Emergency Medicine
基金
国家自然科学基金 (3 0 2 70 3 97)
上海市重点科技项目基金 (0 2DJ14 0 17)
