破裂性腹主动脉瘤的诊断方法和急救处理

Diagnosis and emergency treatment of ruptured abdominal aortic aneurysm

目的探讨破裂性腹主动脉瘤及时有效的诊断方法和急救处理。方法选取2015年12月至2018年12月慈溪市慈林医院收治的66例破裂性腹主动脉瘤患者作为研究对象,按照治疗方式不同分为对照组和观察组,每组33例。对照组采用开放式手术治疗,观察组采用腔内修复术治疗,对比两组患者的手术效果,并总结其有效的诊断方法及急救处理措施。结果观察组手术时间短于对照组,术中补血量低于对照组,重症监护室(ICU)时间低于对照组,病死率、不良反应发生率以及二次干预率低于对照组(P<0.05)。结论对腹主动脉瘤患者采用腔内修复术治疗治疗,可以有效地降低术中出血量,缩短因为失血引发的休克时间,从而提升了临床治疗效果。

Objective To explore the timely and effective diagnosis method and emergency treatment of ruptured abdominal aortic aneurysm.Methods Totally 66 patients with ruptured abdominal aortic aneurysm admitted to Cixi Cilin Hospital from December 2015 to December 2018 were selected as the research objects,and they were randomLy divided into control group and observation group,with 33 cases in each group.The control group was treated with open surgery,and the observation group was treated with endovascular repair.The surgical effects of the two groups were compared,and the effective diagnostic methods and emergency treatment measures were summarized.Results The operation time of the observation group was shorter than that of the control group,the blood replacement volume during operation was lower than that of the control group,and the ICU time was lower than that of the control group.The mortality rate,incidence of adverse events and secondary intervention rate were lower than that of the control group(P<0.05).Conclusion The treatment of patients with abdominal aortic aneurysm by endovascular repair can effectively reduce the amount of intraoperative bleeding and shorten the shock time caused by blood loss,thus improving the clinical treatment effect.