腹主动脉瘤消化道瘘外科治疗  

Surgical treatment of aortoenteric fistula

作　　者：刘冰[1] 黄任平[1] 

机构地区：[1]哈尔滨医科大学第一临床医学院血管外科,黑龙江哈尔滨150001

出　　处：《中国实用外科杂志》2012年第12期1009-1011,共3页Chinese Journal of Practical Surgery

摘　　要：腹主动脉瘤消化道瘘是腹主动脉瘤少见但极为严重的并发症,常会引起消化道大出血导致病人死亡。腹主动脉瘤消化道瘘治疗的两个关键性问题在于出现初步症状时及时控制出血和预防出血、感染相关的后期并发症。及时诊断和外科治疗可以降低消化道大出血的风险。在临床工作中,应根据病人的具体情况,快速做出最佳决策,把握手术时机,选择最佳的治疗方案来预防术后感染并发症的发生。An aortoenteric fistula （AEF） is a rare but life-threatening cause of gastrointestinal （GI） bleeding. Two major concerns for the treatment of AEF are bleeding control at the time of the initial presentation and the prevention of late complications associated with bleeding or infection. Immediate recognition and prompt surgical treatment are essential for reducing the risk of a massive GI hemorrhage. In order to reduce the incidence of postoperative infectious complications, the optimal surgical treatment should be chosen. The most appropriate surgical procedure may be selected based on the surgical findings, underlying cause of the AEF and patients＇ status.

关 键 词：腹主动脉瘤 消化道瘘 

分 类 号：R6[医药卫生—外科学]