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| Stanford A型主动脉夹层的外科治疗 | |
| 引用本文： | 谷小卫,裴琳,董自超,浮志坤. Stanford A型主动脉夹层的外科治疗[J]. 中国体外循环杂志, 2011, 9(2): 68-70,92 |
| 作者姓名： | 谷小卫 裴琳 董自超 浮志坤 |
| 作者单位： | 解放军第91中心医院心胸外科,焦作,454003 |
| 摘 要： | 目的探讨Stanford A型主动脉夹层的外科治疗经验、手术时机和手术方法。方法回顾分析我科2004年1月至2010年1月外科治疗26例Stanford A型主动脉夹层的临床资料。其中升主动脉与根部置换术（Bentall手术）9例（1例行冠状动脉旁路移植术）,升主动脉置换术5例,升主动脉置换＋全弓置换＋降主动脉支架植入术8例,升主动脉置换＋半弓置换术4例。结果术后早期死亡3例,死亡原因分别为严重心律失常、多器官功能衰竭、脑死亡合并循环衰竭。术后发生呼吸功能不全2例,二次开胸止血3例,急性肾功能衰竭2例,延迟苏醒1例。随访18例患者,2例死亡,其余16例术后生活质量良好。结论外科治疗是降低Stanford A型主动脉夹层病死率的关键,手术原则为切除内膜破口及易破裂的部分主动脉,修复剥离内膜,用人工血管移植、成形或置换,重建主动脉管道,并同期处理合并的心脏瓣膜、心肌缺血病变。根据夹层破口的位置、累及范围、主动脉瓣及根部增宽情况来选择相应的术式,可为患者提供有效的治疗手段,降低死亡率。 |
| 关 键 词： | 主动脉夹层 Stanford A型 人工血管置换 |
Surgical treatment of Stanford type A aortic dissection |
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| Gu Xiao-wei,Pei Lin,Dong Zi-chao,Fu Zhi-kun. Surgical treatment of Stanford type A aortic dissection[J]. Chinese Journal of Extracorporeal Circulation, 2011, 9(2): 68-70,92 | |
| Authors: | Gu Xiao-wei Pei Lin Dong Zi-chao Fu Zhi-kun |
| Affiliation: | Gu Xiao-wei,Pei Lin,Dong Zi-chao,Fu Zhi-kun Department of Thoracic and Cardiovascular Surgery of NO.91 Central Hospital of Liberation Army,Henan Jiaozuo 454003,China |
| Abstract: | OBJECTIVE To explore the surgical experience,timing of operative intervention,technique and clinical effects of surgical treatment for Stanford type A aortic dissention.METHODS The clinical materials and methods of operation were retrospectively reviewed for 26 patients with Stanford type A aortic dissection from Jan.2004 to Jan.2010.Replacement of the ascending aorta and the aortic root(Bentall operation) was performed in 9 cases,replacement of the ascending aorta in 5,replacement of the ascending aorta an... |
| Keywords: | Aortic dissention Stanford Type A Prosthetic vessel replacement |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |