StanfordA型主动脉夹层动脉瘤患者56例治疗体会

目的通过分析近5年来我院StanfordA型主动脉夹层动脉瘤的围手术期的临床资料，总结出对StanfordA型主动脉夹层动脉瘤患者的临床治疗经验。方法对56例StanfordA型主动脉夹层动脉瘤患者的临床资料进行回顾性分析。结果术前死亡5例、放弃治疗3例，2例患者保守治疗1个月后出院。术后放弃治疗1例，术后死亡4例，41例患者痊愈出院。术后出现低心排血量综合征7例，严重的肺部感染10例，一过性脑功能紊乱12例，永久性神经系统损伤2例，肾功能不全8例（其中术前已出现。肾功能衰竭者有3例），需行血液透析患者5例。结论手术治疗StanfordA型主动脉夹层动脉瘤是较为有效的治疗手段。

The treatment experience share of 56 cases with stanford A aortic dissection

Objective To share the treatment experience of 56 cases with acute Stanford A aortic dissection in the Xingtai People＇s Hospital of the past 5 years. Methods Clinical data of 56 cases with Stanford A aortic dissection were retrospective analyzed. Results Before operation, 5 patients died, and 3 patients abandoned treatment. Two patients took expectant treatment for one month and finally left hospital. After operation, 1 patients abandoned treatment, and 4 patients died. Other 41 patients were cured. After operation,7 patients had low cardiac output syndrome, 10 patients had severe pulmonary infection, 12 patients had brain damage temporarily,2 patients had permanent brain damage, 8 patients had renal inadequacy （3 patients had renal failure before operation）, and 5 patients were required hemodialysis. Conclusion Surgical treatment is proved to be an effective method to cure patients with Stanford A aortic dissection.