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Stanford A型主动脉夹层的治疗进展
引用本文:李观青 陈海生 程可洛 关晓冉 朱锡梦 杨霞. Stanford A型主动脉夹层的治疗进展[J]. 国际医药卫生导报, 2022, 28(16): 2362-2366. DOI: 10.3760/cma.j.issn.1007-1245.2022.16.034
作者姓名:李观青 陈海生 程可洛 关晓冉 朱锡梦 杨霞
作者单位:1广东医科大学,湛江 524023;2广州市第一人民医院心脏大血管外科,广州 510180;3广东医科大学附属医院心胸外科,湛江 524023
摘    要:主动脉夹层是一种常见的起病急、进展快、术后易出现并发症、并发症严重、手术病死率高的心血管外科急症。Stanford分型较常用,而其中Stanford A型主动脉夹层占所有主动脉夹层的70%~75%,主动脉夹层破口可位于升主动脉和主动脉弓,也可位于降主动脉,同时夹层也可累及主动脉弓以及降主动脉。1838年,Penneck报道了第1例主动脉夹层,至今已过了一百余年。得益于医疗技术的迅速发展,主动脉夹层的诊断、治疗水平逐渐提升,主动脉夹层的病死率在治疗后较未经治疗前有明显下降。多年来,各种治疗Stanford A型主动脉夹层的方式也层出不穷,本文对Stanford A型主动脉夹层的治疗方式的进展作一综述。

关 键 词:主动脉夹层  外科手术  介入手术  杂交手术  
收稿时间:2022-03-14

Advances in treatment of Stanford type A aortic dissection
Li Guanqing,Chen Haisheng,Cheng Keluo,Guan Xiaoran,Zhu Ximeng,Yang Xia. Advances in treatment of Stanford type A aortic dissection[J]. International Medicine & Health Guidance News, 2022, 28(16): 2362-2366. DOI: 10.3760/cma.j.issn.1007-1245.2022.16.034
Authors:Li Guanqing  Chen Haisheng  Cheng Keluo  Guan Xiaoran  Zhu Ximeng  Yang Xia
Affiliation:1 Guangdong Medical University, Zhanjiang 524023,China; 2 Cardiac Macrovascular Surgery, Guangzhou First People'sHospital, Guangzhou 510180, China; 3 Cardiothoracic Surgery,Affiliated Hospital of Guangdong Medical University, Zhanjiang 524023, China
Abstract:Aortic dissection is a common cardiovascularsurgical emergency with acute onset, rapid progress, easy postoperativecomplications, serious complications, and high operative mortality. Stanfordclassification is commonly used, and Stanford type A aortic dissection (TAAD)accounts for 70%-75% of all aortic dissections. The aortic dissection break canbe located in the ascending aorta, aortic arch or descending aorta. At the sametime, the dissection can also involve the aortic arch and descending aorta. In1838, Penneck reported the first case of aortic dissection, which has been morethan 100 years. Thanks to the rapid development of medical technology, thelevels of diagnosis and treatment of aortic dissection have gradually improved,and the mortality of aortic dissection has decreased significantly aftertreatment compared with that before treatment. Over the years, varioustreatments for TAAD have emerged in endlessly. This paper reviews the progressof the treatment of Stanford TAAD.
Keywords:Aortic dissection  Surgery  Interventional procedures  Hybridsurgery  
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