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第58卷 第2期 2025-3
Predatory publisher and low standard journal: An emerging problem in clinical surgery field

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第58卷 第2期 2025-3
Conflict of interest in clinical surgery: Contemporary concern in digital era

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第58卷 第2期 2025-3
Postpublication redecision and pitfalls of inadequate standards in scientific surgical journals: Important consideration in academic publication

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第58卷 第2期 2025-3
Spontaneous bilateral basal ganglia hemorrhage

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第58卷 第2期 2025-3
Academic characterization of the Formosan Journal of Surgery: A five-year bibliometric analysis

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第58卷 第2期 2025-3
Supra-sternal reconstruction for a high-hanging fruit like right subclavian artery aneurysm

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Operations for choledochal cysts: A 25-year experience at a tertiary care center in India

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第58卷 第2期 2025-3
A case report: Can a titanised polypropylene mesh (TiMesh) obviate a dual mesh for sandwich technique for parastomal hernias?

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第58卷 第2期 2025-3
Recurrent gallstone ileus, a deadly encounter: A case report

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第58卷 第2期 2025-3
The changes in dietary intake and tolerance for Chinese food after bariatric surgery in Taiwan

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第58卷 第2期 2025-3
Diagnostic value of trans-recto-perineal ultrasound in perianal fistula—preoperative versus intraoperative findings: A comparative cross-section study

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第58卷 第2期 2025-3
Efficacy and safety of extended-release dinalbuphine sebacate for postoperative analgesia: A systematic review and meta-analysis

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第58卷 第2期 2025-3
Dynamic changes in segmented neutrophil-to-monocyte ratio in trauma patients with stress-induced hyperglycemia: A retrospective study

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第58卷 第1期 2025-1
Ensuring authorship qualification in clinical research articles: A focus on surgical therapy studies

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第58卷 第1期 2025-1
Estimated risk for transfusion of monkeypox contaminated perioperative blood transfusion: A call to action for stronger regulations and testing protocols

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第58卷 第1期 2025-1
Insights into traumatic and crisis surgery: Implications of data analysis in conflict zones

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第58卷 第1期 2025-1
Tongue peeling as an adverse reaction with use of micronized purified flavonoid: A case report

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第58卷 第1期 2025-1
Pilonidal sinus of scrotum: A rare clinical entity

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第58卷 第1期 2025-1
Incidental autopsy finding of retiform hemangioendothelioma of the spleen

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第58卷 第1期 2025-1
Retroperitoneal laparoscopy for hydronephrosis due to multiple fibroepithelial polyps: A case series

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篇名 Acutely Ruptured Abdominal Aortic Aneurysm: Experience in Chi Mei Hospital
作者 Nan-Song Chou, Nan-Hua Chou, Hung-Jung Lin, Zhih-Cherng Chen, Bor-Chih Cheng
卷期/出版年月 37卷2期 (2004/4)
頁次 74-80
摘要 Objectives: The aim of this study was to identify the clinical features of, and analyze the cause of successful operative therapy in, patients with acutely ruptured abdominal aortic aneurysm (AAA) in southern Taiwan. Methods: Patients with an acutely ruptured AAA who reached hospital alive between 1995 and 2001 were selected and analyzed retrospectively. Results: Sixteen patients with an acutely ruptured AAA were identified and operated on. None had a known history of AAA. Abdominal pain and lower back pain are the two most common manifestations. There were thirteen men and three women. The mean age was 68.3 years (range: 52-84). The mean urine output during the operation and day one after the operation were 2.3 1.7 ml/minute and 1106 434 ml/24 hours, respectively. The median interval between symptom onset and hospitalization was seven hours, and that between hospitalization and operation was three and a half hours. Four patients died during hospitalization (hospital mortality rate: 25%). Of them, two patients died of hypovolemic shock during the operation and the other two died of multiple organ failure (MOF) 34 and 93 days after the operation respectively. Conclusions: The urine output could herald the severity of shock and imply the prognosis. Rapid diagnosis, appropriate resuscitation, and operation without any delay to minimize the extent of ischemic damage to vital organs could prevent postoperative MOF and decrease postoperative death. To control bleeding immediately after exploration for avoiding intraoperative hypovolemic shock could decrease intraoperative death.
關鍵詞 acute rupture, abdominal aortic aneursym, mortality, multiple organ failure
分類 Case Report

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