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].现代生物医学进展英文版,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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