| 28例主动脉壁内血肿治疗临床分析 |
| |
| 引用本文： | 李淑珍,刘志平,朱宪明,王 坚,李 伟. 28例主动脉壁内血肿治疗临床分析[J]. 中国心血管病研究杂志, 2015, 13(2) |
| |
| 作者姓名： | 李淑珍 刘志平 朱宪明 王 坚 李 伟 |
| |
| 作者单位： | 内蒙古医科大学附属医院心脏大血管外科,内蒙古医科大学附属医院心脏大血管外科,内蒙古医科大学附属医院心脏大血管外科,内蒙古医科大学附属医院心脏大血管外科,内蒙古医科大学附属医院心脏大血管外科 |
| |
| 摘 要： | 【】 目的 总结主动脉壁内血肿的临床治疗经验,为临床治疗提供参考。方法 回顾性分析28例主动脉壁内血肿治疗的资料。结果 其中A型主动脉壁内血肿5例,2例保守治疗,其中1例死亡,另1例2周后复查CTA血肿较前加重,行手术治疗,3例明确诊断后行孙氏手术治疗效果好。23例B型主动脉壁内血肿患者,5例保守治疗,18例行覆膜支架腔内植入术。结论 A型主动脉壁内血肿行孙氏手术治疗效果佳。单纯B型主动脉壁内血肿可行保守治疗,保守治疗期间发现血肿较前增大、血压控制不平稳、持续胸痛不缓解的患者应及时选择行覆膜支架腔内植入术治疗；B型主动脉壁内血肿伴有主动脉穿透性溃疡患者行覆膜支架腔内植入术是最佳选择。
|
| 关 键 词： | 主动脉壁内血肿；腔内修复术；穿透性溃疡 |
| 收稿时间： | 2014-12-04 |
| 修稿时间： | 2014-12-04 |
Clinical analysis of 28 cases of aortic intramural hematoma treatmentLI Shu-zhen,ZHU Xian-ming ,LIU Zhi-ping,et al.The First Affiliate Hospital of Inner Mongolia Medical College of Heart and Vascular Center,Hohhot,010050,China |
| |
| liuzhiping,zhuxianming,wangjian and liwei. Clinical analysis of 28 cases of aortic intramural hematoma treatmentLI Shu-zhen,ZHU Xian-ming ,LIU Zhi-ping,et al.The First Affiliate Hospital of Inner Mongolia Medical College of Heart and Vascular Center,Hohhot,010050,China[J]. Chinese Journal of Cardiovascular Review, 2015, 13(2) |
| |
| Authors: | liuzhiping zhuxianming wangjian liwei |
| |
| Affiliation: | The First Affiliate Hospital of Inner Mongolia Medical College of Heart and Vascular Center,The First Affiliate Hospital of Inner Mongolia Medical College of Heart and Vascular Center,The First Affiliate Hospital of Inner Mongolia Medical College of Heart and Vascular Center,The First Affiliate Hospital of Inner Mongolia Medical College of Heart and Vascular Center |
| |
| Abstract: | |
| |
| Keywords: | the aortic intramural hematoma Intracavitary repair Penetrating ulcer |
|
| 点击此处可从《中国心血管病研究杂志》浏览原始摘要信息 |
|
点击此处可从《中国心血管病研究杂志》下载全文 |
|
