摘要
本文总结了1986~1995年北京协和医院收治的42例腹主动脉瘤及7例胸腹主动脉瘤的治疗经验。有37例男性12例女性,年龄平均65岁,病程从2周至10年。8例做CT检查,40例做超声检查,43例动脉造影,经食道超声5例,治疗方式是行动脉瘤切开人工血管再建40例无手术死亡。胸腹主动脉瘤手术4例,1例死于低温致室颤,3例采用分次阻断主动脉法减少内脏缺血时间,手术成功,作者认为对动脉瘤仍应手术治疗。术前应重视诊治伴随疾病,改进手术技巧,注意围手术期处理提高手术成功率。
From 1986 to 1994,49 patients with Abdominal or thoraco-abdominal aortic aneurysm(AAA &TAAA)were admitted to PUMC hospital.There were 37 males and l2 females.Age ranged from 26~84 year with an average of 65 years.The duration of the disease varied from 1 week to l0 years.CT was done in 8,ultrasonography Doppler in 40,transesophagial echography(TEE)in 5 and angiography in 43.AAA reconstruction was performed in 40 patients,there was no operative death.TAAA was done in 4 patients,one died of cardiac accident during anesthesia.Three huge TAAA were sugically treated succesfully using improved shunting technique.The perioperative mortality rate in AAA was less than 5%,in TAAA was 25%.
出处
《心肺血管病杂志》
CAS
1996年第1期2-3,6,共3页
Journal of Cardiovascular and Pulmonary Diseases