首页 | 本学科首页   官方微博 | 高级检索  
检索        

Stanford A型主动脉夹层的外科诊治
引用本文:李军,邱阳,杨康,刘铭,廖克龙,曾会昌,王明荣.Stanford A型主动脉夹层的外科诊治[J].重庆医学,2008,37(4):340-341,344.
作者姓名:李军  邱阳  杨康  刘铭  廖克龙  曾会昌  王明荣
作者单位:第三军医大学西南医院胸心外科,重庆,400038
摘    要:目的总结Stanford A型主动脉夹层外科诊治经验。方法2001年1月~2007年2月15例Stanford A型主动脉夹层患者接受了外科手术。男12例,女3例;年龄36~72岁,平均48.7岁。施行经典Bentall手术6例,Bentall加半弓置换手术3例,Bentall加全弓置换手术1例,Bentall加全弓置换加象鼻手术1例。施行Wheat手术4例。结果手术死亡2例,死亡率13.33%。其余患者均痊愈出院,治痊好转率86.67%。结论Stanford A型主动脉夹层的外科治疗能够在以快速准确的诊断、个体化的外科策略和手术方法、精确的手术技术为保证的条件下安全进行。

关 键 词:主动脉夹层  外科  诊断  治疗
文章编号:1671-8348(2008)04-0340-02
收稿时间:2007-11-18
修稿时间:2007年11月18

Surgical treatment of type Stanford A aortic dissection
LI Jun ,QIU Yang ,YANG Kang ,et al..Surgical treatment of type Stanford A aortic dissection[J].Chongqing Medical Journal,2008,37(4):340-341,344.
Authors:LI Jun  QIU Yang  YANG Kang  
Abstract:Objective To summarize the surgical experience of treating type Stanford A aortic dissection.Methods From January 2001 to Feburary 2007,15 patients with type A aortic dissection underwent surgical treatment.The operative procedures included Bentall operation in 6 cases,Bentall operation combined with hemi-arch grafting in 3 cases,Bentall operation combined with total-arch grafting in 1 cases,Bentall operation combined with total-arch grafting and elephant trunk implanting in 1 cases,and Wheat operation in 2 cases.Results There was 2 cases of intraoperative death with a mortality rate of 13.33%.Others were cured and left the hospital with a improvement rate of 86.67%.Conclusion The key factors for success in the surgery of aortic dissection are rapid and accurate diagnosis,proper surgical indication,specific surgical strategy and precise surgical technic.
Keywords:aortic dissection  surgery  diagnosis  treatment
本文献已被 CNKI 维普 万方数据 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号