妊娠合并主动脉夹层6例回顾性分析

目的 探讨妊娠合并主动脉夹层的临床表现、诊断及治疗.方法 选取河南省人民医院于2015年1月至2020年12月收治的妊娠合并主动脉夹层患者6例,对其临床资料、治疗方案和母儿结局进行回顾性分析,探讨不同手术时机对妊娠合并主动脉夹层结局的影响.结果 6例年龄30～38岁,平均32.16岁.发病时间为孕5周至产后1个月,孕早...

Aortic dissection during pregnancy:A retrospective analysis of 6 patients

Objective To explore the clinical manifestations,diagnosis and treatment of aortic dissection during pregnancy.Methods A retrospective analysis of clinical data,auxiliary examination,therapeutic regimen,maternal-fetal outcomes of 6 pregnancy patients complicated with aortic dissection,who admitted to the Henan Provincial people's Hospital from January 2015 to December 2020 was performed,in order to explore the influence for the outcome on different operation time.Results Those patients ranged 30 to 38 years,with mean age 32.16 years;age at the the time of onset ranged from 5-week pregnancy to 1-month postpartum;there were 2 cases in first trimester,3 cases in third trmester,and 1 case in the puerperium.The cardinal symptom included 4 cases of pain in chest and back,1 case of hest pain and panting,and 1 case of low back pain.All patients perpormed aortic angiography,in term of classification of aortic dissection,4 cases were Stanford type A,and 2 cases were Stanford type B.All patients underwent aortic surgery,simultaneous aortic surgery and pregnancy termination were performed in 3 case(1 case of hysterectomy and 2 cases of retained uterus);the pregnancy was terminated after aortic surgery in 2 cases(Bentall surgery first,pregnancy termination on week 1 postoperative);aortic surgery was performed in 1 case during the puerperium.No postoperative mortality was reported.There were 2 fetuses of induced abortion,and 4 fetuses of surviver with good follow-up maternal-fetal outcome.Conclusion For aortic dissection during pregnancy,the treatment regimen should be fully evaluated the scope and type of aortic dissection,the gestational age of the fetus,and the pregnant woman's willingness.The appropriate timing of surgery should be selected to ensure the safety of mother and fetus,and futher reduce the mortality rate.