老年主动脉瘤转归的相关因素分析  

Analysis of effective factors on aortic aneurysms in the elder

作　　者：何瑞[1] 林朝胜[1] 

机构地区：[1]沈阳军区总医院第一干部病房,沈阳市110015

出　　处：《岭南心血管病杂志》1999年第1期45-47,共3页South China Journal of Cardiovascular Diseases

摘　　要：目的　探讨影响老年主动脉瘤转归的相关因素。方法　总结８ 例老年主动脉瘤临床资料，胸主动脉瘤２例，腹主动脉瘤６ 例，平均年龄（７７－９ ±５－７４）岁，病程０－５ ～１２年，血压＜ ２１－３／１２ ｋＰａ ６ 例，＞２１－３／１２ ｋＰａ ２ 例，瘤体直径＜５－０ ｃｍ １ 例，５－０～７－０ ｃｍ ４ 例，＞ ７－０ ｃｍ ３ 例，瘤壁厚度＜２－０ｃｍ ５ 例，２－０～４－０ ｃｍ ３ 例。结果　死亡３ 例中２ 例死于瘤体破裂出血。结论　血压、瘤壁厚度、瘤体迅速增大，应力作用及并存严重心脏病是影响老年主动脉瘤转归的主要相关因素。Objective Attempts were made to find prognostic factorsin aortic aneurysm .Method The clinical and examinat findings of 8 cases with aortic aneurysm were analyzed ,2 of 8 were thoracic aneurysm , 6 of8 abdominalaneurysms,agerange as (77-9±5-74) years old ,the disease history 0-5 ～12 years.There were 6 cases with blood pressure < 21 .3/12 kPa and 2 cases≥ 21 .3/12 kPa ,1 patient had aneurysm range below 5 .0 cm ,4 had 5 .0 ～7 .0 cm and 3 had over7 .0 cm .Results Afollow - up study showed that 2 of 8 were death duing torupture ofthe aneurysm .Conclusion Itis suggested thatfollowingfactors wererelatedto propectofaneurysm : the blood pressure,thicknessofaneurysm wall,therange ofaneurysm increasefast,and so on .

关 键 词：主动脉瘤 血压 老年 

分 类 号：R543.16[医药卫生—心血管疾病]