主动脉支架置入治疗夹层动脉瘤:麻醉相关因素分析

Treatment of dissecting aneurysm using aorta stent implantation: Analysis of anesthesia related factors

主动脉夹层动脉瘤的发病率呈上升趋势。近年来,覆膜支架血管内隔绝术治疗主动脉夹层进入临床应用,取得了较好的效果,是一种微创、安全有效、成功率高的治疗方法,越来越受到临床推崇。但是,主动脉瘤支架置入术中采取何种麻醉方法比较合适还存在不少争议。在局麻、椎管内麻醉及全麻下均可能成功实施该手术。综合研究资料表明,在全麻插管条件下实施该手术,有利于术中控制血压和制动,并发症更少,更加安全可靠。

The disease incidence of aortic dissecting aneurysm showed an increasing tendency. Recently, the clinical application of endovascular stent-graft implantation received good results in treating aortic dissecting aneurysm, which is characterized by minimally invasive, safe, with high success rates. However, the chosen of anesthesia is still in dispute. Local anesthesia, intraspinal anesthesia and general anesthesia can be used in this operation. The investigation demonstrated that intubation general anesthesia is more security in this operation with less complication, which is conductive to controlling blood pressure and braking conditions.