[Methodological recommendations for the study and management of patients with abdominal aortic aneurysms]

The life of the patients having aneurysms of aorta abdominal is in danger seriously because of the strong tendency of the aneurysms to make ruptures with the expansion of the diameter. The inhibition, even the retardation of the expansion of the aneurysms is impossible and the treatment can be only a surgical one. Stating the diagnosis aneurysm of aorta abdominal in the not specialized hospitals appears possible only in 30-50% from the cases. The frequency of the faults with the symptomatic aneurysms is comparatively high and 50% of the patients are being set for operations with a diagnosis "acuta abdomen". In the cases of ruptures the number of the faults reaches up to 72%. The lethality of the planned operative treatment is 3-5%. The lethality in the cases of urgent operation with ruptures is 50-75%. In order to avoid the faults and the complications in diagnosis of the illness we have made practical recommendations for consideration and discussion of the diagnosis and the tactics with patients having abdominal aneurysms. They are recommended for use in dispensary, surgical, urological and cardiological consulting rooms and the respective departments of the hospitals without special profile.