中国实用外科杂志2012，Vol.32Issue(5)：386-389,4.
腹主动脉瘤破裂手术治疗预后及危险因素分析
Study on the prognostic factor of patients with ruptured abdominal aortic aneurysm after surgery
樊昆 1任为1
作者信息
- 1. 重庆医科大学附属第一医院血管外科,重庆400016
- 折叠
摘要
Abstract
Objective To analyze the prognostic factor of patients with ruptured abdominal aortic aneurysm (RAAA) after surgery. Methods The data of 40 patients with RAAA performed surgery between August 1999 and December 2010 in the First Affiliated Hospital of Chongqing University of Medical Sciences were analyzed retrospectively by age, gender, comorbidities, diameter of aneurysm, blood transfusion, operation time and duration of hypotension. The relationship of the variables with mortality was analyzed by both univariate and multivariate analyses. Results In the univariate analysis: patients with hypotension(P=0.034) presented with 3.2 times mortality compared to patients without hypotension. Patients with duration of hypotension ≥ 2h(P=0.008) presented with 2.6 times mortality compared to patients with duration o[ hypotension<2h. An increased mortality was observed in patients with coronary heart disease(P= 0.028), chronic obstructive pulmonary disease(P=0.012) and renal dysfunction(P=0.028). An increased mortality was observed in patients older than 70 years(P=0.031) and in diameter of aneurysm bigger than 5cm(P=0.016). The relationship of mortality to gender(P=0.689), blood transfusior;(P=0.225) and operation time(P=0.360) was not significant. Tn the multivariate analysis: the test showed as significant as age(P=0.040), patients with coronary heart disease(P=0.036) and duration of hypotension(P=0.042) but not diameter of aneurysm(P =0.225) and other disease. Conclusion Elder, coronary heart disease and duration of hypotensionS2h are the risk factors of prognosis for patients with RAAA. Shorten the duration of hypotension can improve the prognosis of patients with RAAA significantly.关键词
腹主动脉瘤破裂/低血压Key words
ruptured abdominal aortic aneurysm/ hypotension分类
医药卫生引用本文复制引用
樊昆,任为..腹主动脉瘤破裂手术治疗预后及危险因素分析[J].中国实用外科杂志,2012,32(5):386-389,4.
