| 阿不拉江·赛达明1,2 穆叶赛·尼加提2 乔峻1 张总刚2 唐和年2.36 例急性Stanford A 型主动脉夹层动脉瘤的外科治疗体会[J].,2012,12(21):4124-4126 |
| 36 例急性Stanford A 型主动脉夹层动脉瘤的外科治疗体会 |
| The Surgical Treatment Experience of 36 Cases of Acute Stanford AAortic Dissection |
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| DOI： |
| 中文关键词: 急性 Stanford A 型 主动脉夹层动脉瘤 外科治疗 体会 |
| 英文关键词: Acute Stanford type A Aortic dissection Surgical treatment Experience |
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| 中文摘要: |
| 目的：总结急性Stanford A 型主动脉夹层动脉瘤的外科治疗体会。方法：选择36 例急性Stanford A 型主动脉夹层动脉瘤患
者，根据病变夹层破口的位置、累及范围、有无合并主动瓣关闭不全选择相应的手术方式，观察患者治疗后的临床疗效并随访治
疗6 个月后的临床预后。结果：3 例患者术中死亡，术中死亡率为8.3%，平均手术时间156.7±56.7min，平均阻断时间98.5±
32.7min，平均选择性脑灌注时间56.1±20.7min，术后平均ICU 住院时间6.2±3.8d，术后平均总计住院时间25.4±7.3d；术后6 个
月后随访，3 例患者死亡，其余30 例患者恢复满意，生活质量与治疗前相比，均得到显著提高。结论：急性Stanford A 型主动脉夹
层动脉瘤患者应积极施行早期外科治疗，术前快速准确诊断，根据患者病情制定相应的手术方案，术后采取措施避免术后并发
症。 |
| 英文摘要: |
| Objective: To summarize the surgical treatment experience of 36 cases of acute Stanford A aortic dissection. Methods:
Collect 36 patients with Stanford A aortic dissection,according to the patients' specific conditions, observe the patients' clinical effect after
treatment and follow-up the clinical outcome after 6 months' treatment. Results: 3 patients were died, the intraoperative mortality rate
was 8.3%, the average operative time was 156.7±56.7min,the average blocking time was 98.5±32.7min, the average selective cerebral
perfusion time was 56.1±20.7min, the average mean postoperative ICU length of stay was 6.2±3.8d, the average postoperative total
hospital stay was 25.4±7.3d, there has a significant statistical in the quality of life. Conclusion: It could take early surgical treatment in
the acute Stanford A aortic dissection in the patients, fast and accurate preoperative diagnosis, develop appropriate surgical plan based on
the patient's condition, measures to avoid postoperative complications. |
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