Published：2009-02-26 09:00 On January 21, 2009, when it was the day of rushing to do the New Year’s goods, 73-year-old Chen old man was sent to our hospital by 120 cars from the local hospital for emergency treatment due to sudden abdominal pain for more than ten hours. At the time of admission, Chen was in a clear state of mind, with shortness of breath, rapid heart rate, and blood pressure of 208/106 mmHg. …… Just as the rescue personnel were preparing for further examination, Chen suddenly turned pale, his hands and feet were wet and cold, and his blood pressure was measured again at 79/43 mmHg, with gradually fuzzy mental state, weakening of the heart sounds on auscultation, and a fine and rapid pulse rate. Rescuers immediately to be dilated, strong heart and a series of rescue, in order to clarify the condition, to the Chen old man performed aortic CT scan, the results show that the Chen uncle abdominal aortic aneurysm rupture bleeding. The condition is critical! The outpatient doctor on duty immediately to the operating room is participating in the Spring Festival party vascular thyroid abdominal wall hernia surgery (referred to as “blood armor hernia surgery”) director Peng Lin for help. Upon receiving the call, Mr. Peng rushed back to the hospital without saying a word, understood his condition and instructed to perform emergency surgery immediately. Under the decisive guidance of the vascular thyroid abdominal wall hernia surgery experts and the close cooperation of the anesthesiology department, ICU and other departments, the patient was pushed from the emergency rescue room directly into the operating room to receive emergency surgery. Anesthesiologists immediately performed deep vein cannulation, prepared sufficient red blood cells for backup, multiple channels for rapid blood transfusion, and all groups of personnel worked in a tense and orderly manner. During the surgery, the patient had a large amount of blood in the abdominal cavity and a huge hematoma in the posterior peritoneum, which was estimated to have bled about 3000ml. Although it was very difficult to block the abdominal aorta due to the large hematoma, the surgeon boldly and skillfully performed vascular blockage to temporarily control the bleeding. After more than 5 hours of struggle, the “abdominal aortic aneurysm resection and artificial blood vessel replacement” was finally completed successfully, and Mr. Chen turned out to be safe for the time being. After the operation, the patient’s recovery process was also a series of twists and turns, due to the patient’s massive bleeding and ischemia-reperfusion injury, the patient once appeared in a variety of critical situations. However, under the close cooperation and careful treatment of ICU doctors and blood armor hernia surgeons, this critical patient was finally rescued from the brink of death. After a period of conditioning, Uncle Chen finally recovered and was discharged from the hospital. On the day he was discharged from the hospital, Mr. Chen and his family members held Mr. Peng’s hands tightly and expressed their gratitude! According to Director Peng, abdominal aortic aneurysm is a common disease of aneurysm. In the United States, about 15,000 people die of abdominal aortic aneurysm every year. 1955, the great scientist Albert Einstein died due to a sudden illness, the reason is that in his body a buried for many years of “time bomb” – abdominal aortic aneurysm rupture caused by the rupture of the abdominal aortic aneurysm, the reason is that in his body a “time bomb” – abdominal aortic aneurysm. -Abdominal aortic aneurysm ruptured, resulting in hemorrhagic shock. Most patients with abdominal aortic aneurysm have no conscious symptoms, and occasionally patients find a throbbing mass in the abdomen. Abdominal throbbing mass is an important sign of abdominal aortic aneurysm, and once the aneurysm ruptures, the condition is dangerous. At present, the mortality rate of patients with ruptured abdominal aortic aneurysm is as high as 50%. But in the provincial medical blood armor hernia department, after years of clinical experience and the application of new technology, the mortality rate of this disease has been reduced to less than 20%. Director Peng also reminded that some middle-aged and elderly people in the physical examination or unintentionally found abdominal throbbing mass to the hospital to check and found abdominal aortic aneurysm, often get the doctor this answer: now your aneurysm is not big, can be regularly observed. In fact, when the tumor diameter exceeds 5cm, it is already an absolute indication for surgery of abdominal aortic aneurysm. So, is it for the tumor diameter less than 5cm cases do not need to consider the possibility of rupture of abdominal aortic aneurysm? The answer is no. Harvard Medical School and Massachusetts General Hospital once conducted a retrospective analysis of 182 cases of ruptured abdominal aortic aneurysms at autopsy, and found that 18.1% of the ruptures occurred in patients with an aneurysm diameter of less than 5 cm. Therefore, even for patients with abdominal aortic aneurysms less than 5cm in diameter should not be taken lightly, for this part of the patient, 10% of the underdiagnosis rate and the painful lesson is enough to make people shocked.