a ruptured abdominal aortic aneurysm that requires preoperative cardiopulmonary resuscitation is not necessarily lethal：腹主动脉瘤破裂，需要术前心肺复苏术并不一定是致命的.pdfVIP

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2016-03-12 发布于广东
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a ruptured abdominal aortic aneurysm that requires preoperative cardiopulmonary resuscitation is not necessarily lethal：腹主动脉瘤破裂，需要术前心肺复苏术并不一定是致命的.pdf

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a ruptured abdominal aortic aneurysm that requires preoperative cardiopulmonary resuscitation is not necessarily lethal：腹主动脉瘤破裂，需要术前心肺复苏术并不一定是致命的

A ruptured abdominal aortic aneurysm that requires preoperative cardiopulmonary resuscitation is not necessarily lethal Pieter P. H. L. Broos, MD,a,b Yannick W. ‘t Mannetje, MD,a,b Maarten J. A. Loos, MD, PhD,c Marc R. Scheltinga, MD, PhD,c,d Lee H. Bouwman, MD, PhD,e Philippe W. M. Cuypers, MD, PhD,a Marc R. H. M. van Sambeek, MD, PhD,a and Joep A. W. Teijink, MD, PhD,a,b Eindhoven, Maastricht, Veldhoven, and Heerlen, The Netherlands Objective: A ruptured abdominal aortic aneurysm (RAAA) is associated with a high mortality rate. If cardiopulmonary resuscitation (CPR) is required before surgical repair, mortality rates are said to approach 100%. The aim of this multicenter, retrospective study was to study outcome in RAAA patients who required CPR before a surgical (endo- vascular or open) repair (CPR group). RAAA patients who did not need CPR served as controls (non-CPR group). Methods: Over a 5-year time period, demographic and clinical characteristics and speciﬁcs of preoperative CPR if necessary were studied in all patients who were treated for a RAAA in three large, nonacademic hospitals. Results: A total of 199 consecutive RAAA patients were available for analysis; 176 patients were surgically treated. Thirteen of these 176 patients (7.4%) needed CPR, and 163 (92.6%) did not. A 38.5% (5 of 13) survival rate was observed in the CPR group. Thirty-day mortality was almost three times greater in the CPR group compared with the non-CPR group (61.5% vs 22.7%; P [ .005). Both CPR patients who received endovascular aortic repair survived. In contrast, survival in 11 CPR patients who underwent open RAAA repair was 27% (3 of 11; P [ .128). A trend for higher Hardman index was found in patients who received CPR compared with patients who did not receive CPR (P [ .052). The 30-day