英语翻译Clinical ConsiderationsThe major risk factors for abdomi

英语翻译
Clinical Considerations
The major risk factors for abdominal aortic aneurysm (AAA) include age (being 65 or older),male sex,and a history of ever smoking (at least 100 cigarettes in a person's lifetime).A first-degree family history of AAA requiring surgical repair also elevates a man's risk for AAA; this may also be true for women but the evidence is less certain.There is only a modest association between risk factors for atherosclerotic disease and AAA.
Screening for AAA would most benefit those who have a reasonably high probability of having an AAA large enough,or that will become large enough,to benefit from surgery.In general,adults younger than age 65 and adults of any age who have never smoked are at low risk for AAA and are not likely to benefit from screening.Among men aged 65 to 74,an estimated 500 who have ever smoked—or 1,783 who have never smoked—would need to be screened to prevent 1 AAA-related death in the next 5 years.As always,clinicians must individualize recommendations depending on a patient's risk and likelihood of benefit.For example,some clinicians may choose to discuss screening with male nonsmokers nearing age 65 who have a strong first-degree family history of AAA that required surgery.
The potential benefit of screening for AAA among women aged 65 to 75 is low because of the small number of AAA-related deaths in this population.The majority of deaths from AAA rupture occur in women aged 80 or older.Because there are many competing health risks at this age,any benefit of screening for AAA would be minimal.Individualization of care,however,is still required.For example,a clinician may choose to discuss screening in the unusual circumstance in which a healthy female smoker in her early 70s has a first-degree family history for AAA that required surgery.

Clinical Considerations临床注意事项
The major risk factors for abdominal aortic aneurysm (AAA) include age (being 65 or older),male sex,and a history of ever smoking (at least 100 cigarettes in a person's lifetime).导致腹主动脉瘤的主要因素包括年龄（65岁及以上）、男性,有吸烟史（一生吸过100支）.A first-degree family history of AAA requiring surgical repair also elevates a man's risk for AAA; this may also be true for women but the evidence is less certain.有一级腹主动脉瘤外科手术修复家庭史的人患病率也增加；这对于女性来说也是一样的,只是还未有很多事例.There is only a modest association between risk factors for atherosclerotic disease and AAA.动脉粥样硬化与腹主动脉瘤的关联不是很大.
Screening for AAA would most benefit those who have a reasonably high probability of having an AAA large enough,or that will become large enough,to benefit from surgery.全身透视筛查对于腹主动脉瘤致病可能较高的人或者更可能做手术的人来说更有用.In general,adults younger than age 65 and adults of any age who have never smoked are at low risk for AAA and are not likely to benefit from screening.一般来说,65岁以下或者未吸烟的成年人,以及无法通过透视筛查得知会致病的人致病率也较低.Among men aged 65 to 74,an estimated 500 who have ever smoked—or 1,783 who have never smoked—would need to be screened to prevent 1 AAA-related death in the next 5 years.65-74岁的男性,吸烟者500人中有一人,未吸烟者1783人中有一人可能会死于腹主动脉瘤,5年内需要透视筛查以预防.As always,clinicians must individualize recommendations depending on a patient's risk and likelihood of benefit.一如既往的,医生必须根据致病率与治疗效果对不同的病人给于不同的治疗建议.For example,some clinicians may choose to discuss screening with male nonsmokers nearing age 65 who have a strong first-degree family history of AAA that required surgery.比如,某些医生会建议对65岁的非吸烟,且有一级腹主动脉瘤手相术家庭史的男性进行透视筛查.
The potential benefit of screening for AAA among women aged 65 to 75 is low because of the small number of AAA-related deaths in this population.65-74岁的进行透视筛查的女性查出致病的可能性较小,是因为此年龄段的死亡率较低.The majority of deaths from AAA rupture occur in women aged 80 or older.死于腹主动脉瘤的女性一般是80岁以上的.Because there are many competing health risks at this age,any benefit of screening for AAA would be minimal.因为这一年龄段的人危险因素更多,所以透视筛查是最低要求.Individualization of care,however,is still required.然而不同人要注意不同的方面.For example,a clinician may choose to discuss screening in the unusual circumstance in which a healthy female smoker in her early 70s has a first-degree family history for AAA that required surgery.比如,医生会建议70岁的健康吸烟女性且有一级腹主动脉瘤手相术家庭史在特别的情况下进行透视筛查.