| 急性A型主动脉夹层的急诊外科治疗体会(附八例报告) |
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| 引用本文： | 殷桂林,朱水波,胡建才,张晓明,王荣平,谭焱,刘勇,董永强. 急性A型主动脉夹层的急诊外科治疗体会(附八例报告)[J]. 临床外科杂志, 2005, 13(9): 561-562 |
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| 作者姓名： | 殷桂林 朱水波 胡建才 张晓明 王荣平 谭焱 刘勇 董永强 |
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| 作者单位： | 430070,广州军区武汉总医院心胸外科;430070,广州军区武汉总医院心胸外科;430070,广州军区武汉总医院心胸外科;430070,广州军区武汉总医院心胸外科;430070,广州军区武汉总医院心胸外科;430070,广州军区武汉总医院心胸外科;430070,广州军区武汉总医院心胸外科;430070,广州军区武汉总医院心胸外科 |
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| 摘 要： | 目的提高急性A型主动脉夹层（acute type A aortic dissection．AAAD）的急诊外科治疗水平。方法2002年4月至2005年3月对8例AAAD行急诊手术，其中Bentall手术7例，Cabrol手术1例。结果手术死亡1例，死亡率12．5％。7例痊愈出院。随访3～40个月，术后远期因霉菌感染致冠状动脉吻合口破裂死亡1例。其余6例患者生活质量良好。心功能Ⅰ级3例、Ⅱ级3例。结论对AAAD采用积极急诊手术治疗，可提高患者生活质量。
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| 关 键 词： | 主动脉夹层 外科 治疗 |
| 文章编号： | 1005-6483（2005）09-0561-02 |
| 收稿时间： | 2005-01-03 |
| 修稿时间： | 2005-01-03 |
Emergency surgical treatment for acute type A aortic dissection |
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| Yan GuiLin;Zhu ShuiBo;Hu JianCai;Zhang XiaoMing;Wang RongPing;Tan Yan;Liu Yong;Dong YongJiang. Emergency surgical treatment for acute type A aortic dissection[J]. Journal of Clinical Surgery, 2005, 13(9): 561-562 |
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| Authors: | Yan GuiLin Zhu ShuiBo Hu JianCai Zhang XiaoMing Wang RongPing Tan Yan Liu Yong Dong YongJiang |
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| Abstract: | Objective To explore the surgical experience for acute type A aortic dissection.Methods From April 2002 to March 2005,8 patients with acute type A aortic dissection were treated surgically in our department:Bentall procedure(n=7) and Cabrol procedure(n=1).Results The mortality was 12.5% (1/8).Seven patients were cured and left the hospital.They were followed-up from 3 to 40 months.One patient died of anastomosis bleeding of coronary artery caused by fungus infection 57 days after operation.Conclusion Emergency surgery treatment is a good choice for acute type A aortic dissection to reduce the mortality. |
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| Keywords: | aortic dissection surgery treatment |
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