小结
定义
病史和体格检查
关键诊断因素
- 存在的危险因素
- 可触及腹部搏动性包块
其他诊断因素
- 腹痛、背痛或腹股沟疼痛
- 低血压
危险因素
- 吸烟
- 遗传史/家族史
- 年龄增长
- 男性(患病率)
- 女性(破裂)
- 先天性/结缔组织疾病
- 高脂血症
- 慢性阻塞性肺疾病 (COPD)
- 动脉粥样硬化(即:冠状动脉疾病 [CAD]、周围动脉闭塞性疾病)
- 高血压
- 身高增长
- 中心性肥胖
- 无糖尿病
诊断性检查
首要检查
- 腹部超声
需考虑的检查
- 红细胞沉降率 (ESR)/C 反应蛋白 (CRP)
- 全血细胞计数(FBC)
- 血液培养
- 计算机体层成像血管造影 (CTA)/CT
- 磁共振血管成像 (MRA)/MRI
治疗流程
AAA 破裂
有症状但未破裂的 AAA
偶然发现:无症状的小型 AAA
偶然发现:无症状的大型 AAA
需要治疗的腔内修复术后渗漏
撰稿人
作者
Matt J. Bown, MB BCh, MD, FRCS, PGCert (Bioinformatics)
Professor of Vascular Surgery
Department of Cardiovascular Sciences
University of Leicester, Leicester Royal Infirmary
Leicester
UK
利益声明
MJB has grant funding from the British Heart Foundation and the National Institute for Health Research.
Andrew Duncan, MBBS, BSc, MRCS
Honorary Research Fellow
Department of Cardiovascular Sciences
University of Leicester
Leicester
UK
利益声明
AD declares that he has no competing interests.
鸣谢
Professor Matt Bown and Mr Andrew Duncan would like to gratefully acknowledge Dr Maureen K. Sheehan, Dr Dawn M. Barnes, and Dr Gilbert R. Upchurch, previous contributors to this topic.
利益声明
MKS, DMB, and GRU declare that they have no competing interests.
同行评议者
Ross Naylor, MBBS
Professor of Vascular Surgery
Vascular Surgery Group
Division of Cardiovascular Sciences
Leicester Royal Infirmary
UK
利益声明
RN declares that he has no competing interests.
William Pearce, MD
Chief of Division of Vascular Surgery
Department of Surgery
Northwestern Memorial Hospital
Chicago
IL
利益声明
WP declares that he has no competing interests.
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