| 急性Stanford A型主动脉夹层的外科治疗 |
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| 引用本文： | 董逸飞,董书强,李庆新,尹强,曹文峰,宿华伟. 急性Stanford A型主动脉夹层的外科治疗[J]. 医学争鸣, 2009, 30(8): 710-712 |
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| 作者姓名： | 董逸飞 董书强 李庆新 尹强 曹文峰 宿华伟 |
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| 作者单位： | 董逸飞,董书强,李庆新,曹文峰,宿华伟,DONG Yi-Fei,DONG Shu-Qing,LI Qing-Xin,CAO Wen-Feng,SU Hua-Wei(兰州军区兰州总医院,心血管外科,甘肃,兰州,730050);尹强,YIN Qiang(兰州军区兰州总医院,医教部,甘肃,兰州,730050) |
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| 摘 要： | 目的：总结急性A型主动脉夹层的外科治疗经验.方法：2003-01/2008-10手术治疗急性Stanford A型主动脉夹层17（男14,女3）例.年龄21～62（平均41.8）岁.采用深低温停循环（DHCA）加右腋动脉选择性脑灌注（ASCP）10例（59%）,体外循环＋DHCA3例（18%）,中低温体外循环4例（23%）.手术方式：升主动脉＋全弓置换＋降主动脉术中支架置入术7例,升主动脉＋全弓置换2例,升主动脉＋右半弓置换3例,升主动脉置换5例.结果：手术死亡2例（死亡率12%）.生存的15例中,术后神经系统并发症4例（24%）,心包积液2例（12%）,胸腔积液4例（24%）;肺部感染1例（6%）,均治愈出院.随诊1mo～4a,无随诊期死亡.结论：急性Stanford A型夹层的患者应争取尽早采取手术,根据内膜破口位置、夹层的范围决定手术的范围和方式,熟练的手术操作、合适的体外循环和脑保护技术是手术成功的关键.
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| 关 键 词： | 主动脉瘤 动脉瘤,夹层 心脏外科手术 |
Surgical treatment of acute type A aortic dissection |
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| DONG Yi-Fei,DONG Shu-Qing,LI Qing-Xin,YIN Qiang,CAO Wen-Feng,SU Hua-Wei. Surgical treatment of acute type A aortic dissection[J]. Negative, 2009, 30(8): 710-712 |
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| Authors: | DONG Yi-Fei DONG Shu-Qing LI Qing-Xin YIN Qiang CAO Wen-Feng SU Hua-Wei |
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| Affiliation: | DONG Yi-Fei1,DONG Shu-Qing1,LI Qing-Xin1,YIN Qiang2,CAO Wen-Feng1,SU Hua-Wei11Department of Cardiovascular Surgery,2Department of Medical Education and Administration,Lanzhou General Hospital,Lanzhou Military Area Command,Lanzhou 730050,China |
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| Abstract: | AIM:To summarize the surgical experience for acute Stanford A aortic dissection. METHODS:From January 2003 to October 2008,17 patients with acute Stanford A aortic dissection underwent surgery. The age of the patients ranged from 21 to 62 with the average age of 41.8. The operations were performed by deep hypothermic circulatory arrest (DHCA) with antegrade selective cerebral perfusion (ASCP) in 10 cases (59%),DHCA in 3 cases (18%),and moderate hypothermic cardiopulmonary bypass in 4 cases (23%). Surgical p... |
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| Keywords: | aortic aneurysm aneurysm dissecting cardiac surgical procedures |
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