Trends in abdominal aortic aneurysms: a 13 year review.
Trends in abdominal aortic aneurysms: a 13 year review.
复制标题
腹主动脉瘤的趋势：13 年回顾。
DOI：
10.1016/s1078-5884(05)80097-8
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发表时间：
1995
期刊：
影响因子：
--
通讯作者：
P. Bell
中科院分区：
文献类型：
--
作者：
A. Nasim;R. Sayers;M. Thompson;P. Healey;P. Bell
目的探讨1979 - 1991年腹主动脉瘤的变化趋势。设计来自莱斯特郡卫生局的回顾性研究。结果治疗腹主动脉瘤727例。其中56.4%住院选择修复，43.6%出现破裂。在此期间，尽管选择性修复的数量有所增加，但动脉瘤破裂的数量仍有显著增加。选择性修复的总30天死亡率（包括有症状但未破裂的动脉瘤患者）为8.8%。动脉瘤破裂的30天总死亡率（包括医学上认为不适合手术的患者）为57.7%。在研究期间，择期死亡率和破裂死亡率没有显著变化。患者的中位年龄显著增加（1979年为69.5岁，1991年为74岁）。结论腹主动脉瘤发病率的上升可能反映了诊断方法的改进、临床认识的提高以及老年人在人群中所占比例的增加。
AIMTo assess changing trends of abdominal aortic aneurysms 1979 – 1991.DESIGNRetrospective study from the Leicestershire Health Authority.RESULTS727 patients with abdominal aortic aneurysm were treated. Of these 56.4% were admitted for elective repair and 43.6% presented with rupture. There was a significant increase in the number of ruptured aortic aneurysms over this period despite an increase in the number of elective repairs. The overall 30-day mortality of elective repair (including patients with symptomatic but non-ruptured aneurysms) was 8.8%. The overall 30-day mortality of ruptured aneurysms (including patients who were deemed medically too unfit for surgery) was 57.7%. There has been no significant change in elective and ruptured mortality over the study period. There was a significant increase in the median age of patients (69.5 yrs in 1979 to 74 yrs in 1991).CONCLUSIONThe increasing incidence of abdominal aortic aneurysms may reflect better diagnostic methods, greater clinical awareness of the condition and increase in the proportion of elderly people in the population.