【摘要】 目的回顾总结17例破裂性腹主动脉瘤(RAAA)的救治经验。方法对2002年5月至2008年3月救治的17例RAAA患者的临床资料进行回顾性分析。结果 17例RAAA患者中的15例采用开腹手术救治,紧急应用球囊导尿管阻断动脉以止血,自体出血回输装置进行自体输血,人工血管置换;2例采用腔内血管外科技术行带膜支架植入,成功1例,另1例转为开腹手术后仍成功救治。死亡3例,存活14例。结论腹主动脉瘤患者一旦出现腹痛等破裂先兆症状,必须尽快争取手术时间,球囊导尿管阻断动脉可以明显缩短失血性休克时间,减少术中出血和输血是抢救成功的关键。更多还原

【Abstract】 Objective To summarize the experience of surgical treatment of ruptured abdominal aortic aneurysm in 17 cases.Methods The data of 17 cases with ruptured abdominal aortic aneurysm(RAAA) in our department from May 2002 to March 2008 were retrospectively analyzed.Results Open surgery was performed on 15 out of 17 patients with RAAA.Other treatments included Foley catheters emergently blocking artery to stop bleeding,cell saver for autohemotransfusion and vascular prosthesis replacement.The other 2 patients underwent endovascular stent-graft repair,1 succeed and 1 converted into open surgery.Of all cases,there were 3 deaths and 14 survivals.Conclusion Once the precursory symptoms such as abdominal pain presented,patients with abdominal aortic aneurysm must be treated by surgery as soon as possible.The balloon catheter may block artery to significantly short hemorrhagic shock.Reducing intraoperative blood loss and blood transfusion is the key to successful treatment.更多还原