肾下型腹主动脉瘤患者开腹手术死亡率多因素分析  

Factors affecting mortality after surgery for infrarenal abdominal aortic aneurysm surgery

作　　者：江楠[1] 肖亮灿[1] 肖颖[1] 张劲军[1] 夏杰华[1] 黄文起[1] 

机构地区：[1]中山大学附属第一医院麻醉科,广州510080

出　　处：《中华普通外科学文献（电子版）》2011年第6期38-41,共4页Chinese Archives of General Surgery(Electronic Edition)

摘　　要：目的探讨影响肾下型腹主动脉瘤开腹手术死亡率的因素。方法回顾性分析我院1995～2006年102例择期行肾下型腹主动脉瘤切除并人工血管置换术患者的临床资料。结果患者择期手术的死亡率为6．67％（7／102），术中死亡的主要原因是失血性休克．术后死亡的主要原因为多器官功能衰竭。心血管病并发症与术后死亡率呈正相关性（P〈O．05）。结论加强麻醉期循环系统管理，可减少手术死亡率，提高腹主动脉瘤手术的安全性。Objective To investigate factors in affecting mortality after selective infrarenal abdominal aneurysm surgery. Methods Participants included 102 patients with a diagnosis of infrarenal abdominal aortic aneurysm in our hospital from 1995 to 2006. All of the patients underwent selective aneurysm resection and synthetic prosthesis replacement. Muhivariable regression analyses were performed to examine the relation between surgery and mortality after surgery while controlling for baseline characteristics and early therapeutic interventions. Results The mortality rate was 6.67%, due in most cases to multiple organ failure. A significant correlation between the intraoperative cardiovascular complications and mortality existed in multivariable adjusted regression analyses （P 〈 0.05）. Conclusion The improvement of anesthetic management of intraoperative circulatory system in selective infrarenal abdominal aneurysm surgery patients is associated with reduced mortality.

关 键 词：腹主动脉瘤 死亡率 麻醉 

分 类 号：R654.3[医药卫生—外科学]