Emergent or elective operation for symptomatic abdominal aortic aneurysm
Autor: | Jack B. Peacock, George Johnson, H. J. Proctor, Noel B. McDevitt, Stanley R. Mandel |
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Rok vydání: | 1980 |
Předmět: |
Male
medicine.medical_specialty Time Factors Aortic Rupture Hemodynamics Blood volume Blood Pressure Hematocrit Aneurysm North Carolina Medicine Humans cardiovascular diseases Aorta Abdominal Aged medicine.diagnostic_test business.industry High mortality medicine.disease Clinical judgment Abdominal aortic aneurysm Surgery Aortic Aneurysm Blood pressure cardiovascular system Female business |
Zdroj: | Archives of surgery (Chicago, Ill. : 1960). 115(1) |
ISSN: | 0004-0010 |
Popis: | • The patient with the symptomatic abdominal aortic aneurysm (AAA) presents a management dilemma, ie, emergent, urgent, or elective operation. The mortality for 38 patients with a ruptured AAA prior to 1972 was 61%. That year, a policy of immediate operation was instituted for patients with symptoms that might be referable to a ruptured AAA. It is concluded that an immediate operation on the patient with a symptomatic but intact AAA resulted in an excessively high mortality. Thus, the indications for an immediate operation on these patients should be based on clinical judgment; attempting to differentiate between the patient with the ruptured and the patient with the intact aneurysm. Hemodynamic data (blood pressure or hematocrit reading) suggesting a decrease in blood volume dictate an immediate operation. An urgent operation on the well-prepared patient should be performed on all patients with a symptomatic aneurysm in which the clinical and hemodynamic findings do not suggest that it has ruptured. (Arch Surg115:51-53, 1980) |
Databáze: | OpenAIRE |
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