Ruptured abdominal aortic aneurysm: prognostic factors

Jornal Vascular Brasileiro

Denise Rabelo Da Silveira¹  Vanessa Prado Dos Santos¹  Aline Faria Lamaita¹  Henrique Jorge Guedes Neto¹  Alvaro Razuk Filho¹  Valter Castelli Jr.¹  Roberto Augusto Caffaro¹ 

[1] ,Santa Casa de São Paulo School of Medical Sciences Department of SurgerySão Paulo SP

关键词: ruptured aneurysm;    abdominal aortic aneurysm;    morbidity;    aneurisma roto;    aneurisma da aorta abdominal;    morbidade;   

DOI  :  10.1590/S1677-54492005000400004

来源: SciELO

【 摘 要 】

OBJECTIVE: To analyze the prognostic factors related to the mortality of ruptured abdominal aortic aneurysm. METHOD: Seventy-two patients who suffered ruptured abdominal aortic aneurysm and were operated in the period between 1976 and 2000 by the Vascular Surgery Unit of the Santa Casa de São Paulo - School of Medical Sciences were retrospectively analyzed. RESULTS: The descriptive analysis of the data shows a mean age of 67.93 years, with a standard deviation of 11.58, 32% female and 68% male. Of the total number, 28% had a previous history of aneurysm and 72% were not aware of the disease. Mean systolic blood pressure during hospital admission was 96.53 mmHg. Pain was present in 100% of the patients, as well as throbbing abdominal mass. In 93% of the cases the location of the aneurysm rupture was the retroperitoneum, 4% in the duodenum, and 2% in the free peritoneum. CONCLUSION: The prognostic factors related to mortality and morbidity that demonstrated statistical significance were: age, initial blood pressure at hospital admission, diuresis during surgery, volume infused, and creatinine levels.

【 授权许可】

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