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Das Rupturierte Bauchaortenaneurysma — initiale Therapie aus chirurgischer Sicht

Initial Treatment of Ruptured Abdominal Aortic Aneurysm from the Surgeon’s Perspective

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Die Ambivalenz des Fortschritts — ist weniger mehr?

Part of the book series: Deutsche Gesellschaft für Chirurgie ((KONGRESSBAND,volume 1994))

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Summary

In contrast to elective surgery for infrarenal abdominal aneurysms the mortality rate of ruptured aneurysms has not improved over the years. Own experience and a review of the literature suggest three basic goals for achieving lower mortality: 1. Reducing the time interval between rupture and the surgical control of the bleeding, 2. refraining from reestablishing normal blood pressure by hemodilution, 3. admitting the patient to a competent surgical unit with experience in aortic surgery.

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Literatur

  1. Hoffmann M, Avellone JC, Plecha FR, Rhodes RS, Donovan DL, Beven EG, DePalma RG, Frisch JA (1982) Operation for ruptured abdominal aortic aneurysms: A community-wide experience. Surgery 91:597

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  2. Amundsen S, Skjaerven R, Trippestad A, Soreide O and Members of the Norwegian Abdominal Aortic Aneurysms Trial. Is there an association between surgical volume, surgical experience, hospital type and operative mortality? Acta Chir Scand 156:323

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© 1994 Springer-Verlag Berlin Heidelberg

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Lauterjung, L. (1994). Das Rupturierte Bauchaortenaneurysma — initiale Therapie aus chirurgischer Sicht. In: Hartel, W. (eds) Die Ambivalenz des Fortschritts — ist weniger mehr?. Deutsche Gesellschaft für Chirurgie, vol 1994. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-79242-7_258

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  • DOI: https://doi.org/10.1007/978-3-642-79242-7_258

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-58399-8

  • Online ISBN: 978-3-642-79242-7

  • eBook Packages: Springer Book Archive

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