主动脉动脉瘤92例尸检材料分析

本文报告92例主功脉动脉瘤的尸检材料,包括粥样硬化性动脉瘤65例、夹层性动脉瘤26例和霉菌性动脉瘤1例。年龄在37岁至96岁之间,平均年龄为71.8岁。动脉瘤合并破裂52例,占全部病例的56.5%。46例由于动脉瘤破裂所致急性出血性体克和急性心包填塞而死亡。26例(28.3%)临床表现为猝死。66例住院患者死亡前临床获诊者32例,占全部位院病例的48.5%。文中对主动脉动脉瘤的发病原因、病理特征、并发症和临床表现进行了讨论。

Aneurysms of the Aorta

The data concerning aortic aneurysm from 92 autopsies weresummarized.These aneurysms classified by etiology were listed asfollows:Arteriosclerotic aortic aneurysm 65 cases,Dissecting aortic aneurysm 26 casesMycotic aortic aneurysm 1 caseAges at death ranged from 37 to 96 years and the average age was71.8 years.Rupture of aneurysm occurred in 52 cases(56.5%).Suddendeath occurred in 26 cases(28.3%).Forty-six cases died directly as aresult of acute hemorrhagic shock and acute pericandiac tampanadeseconcary to rupture of the aneurysm.The premortem diagnosis was madein 32 of 66 hospitalized cases(48.5%).In this paper,etiology,pathologicfeatures,complications and clinical manifestations of aortic aneurysmwere discussed.