Diagnosis of rupture of abdominal aortic aneurysms.

Diagnosis of rupture of abdominal aortic aneurysms.
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腹主动脉瘤破裂的诊断。

DOI:
10.1016/s0140-6736(67)90007-4
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发表时间:
1967
期刊:
The Lancet
影响因子:
--
通讯作者:
H. D. Moore
H. D. Moore
中科院分区:
--
文献类型:
--
作者:
H. D. Moore

文献摘要

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The proportion of all deaths, over the age of 50, from ruptured abdominal aortic aneurysm is about 1 in 250. At least half of these can survive if operated upon, but none if not so treated, and this depends upon early diagnosis. From personal experience, and a review of the literature, it is evident that the correct diagnosis is only too often not considered. The nine cases described fall into one of three groups. The first group, sudden death after catastrophic bleeding would not arise if patients with known aneurysm were referred for operation. In a second group, where the diagnosis may, mistakenly, include most cardiac or abdominal catastrophes (especially acute pancreatitis), the failure stems from lack of appreciation that patients will survive one or more ruptures. In the third group—presence of aneurysm associated with back pain, indicating impending rupture—the importance of surgery is stressed.