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Stanford A型主动脉夹层手术期间多脏器保护的作用 被引量:4

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摘要 Stanford A型主动脉夹层动脉瘤多采用全主动脉弓置换加支架象鼻手术。目前,外科手术治疗StanfordA型主动脉夹层日趋成熟,手术治疗的方式和效果有了很大的提高[1],但因主动脉弓部结构和相关功能特殊,手术操作复杂,时间长,麻醉手术期间常需实施深低温停循环技术,心、脑、肾等器官容易遭受缺血缺氧损害,加之开放血流引起缺血再灌注损伤,
出处 《中华临床医师杂志(电子版)》 CAS 2010年第11期168-169,共2页 Chinese Journal of Clinicians(Electronic Edition)
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参考文献6

  • 1Di Eusanio M,Tan ME,Schepens MA,et al.Surgery for acute type A dissection using antegrade selective cerebral perfusion:experience with 122 patients.Ann Thorac Surg,2003,75(2):514-519.
  • 2王古岩,李立环,刘晋萍,吉冰洋,刘志刚,常谦,孙立忠.全身麻醉深低温停循环选择性脑灌注技术在主动脉弓替换和支架“象鼻”手术中的应用[J].中国体外循环杂志,2005,3(2):93-95. 被引量:20
  • 3Jakob H,Tsagakis K,Tossios P,et al.Combining classic surgery with descending stent grafting for acute DeBakey type I dissection.Ann Thorac Surg,2008,86(1):95-101.
  • 4Ji S,Yang J,Ye X,et al.Brain protection by using innominate artery cannulation during aortic arch surgery.Ann Thorac Surg,2008,86(3):1030-1032.
  • 5李立环,薛玉良,岳云.心血管手术和麻醉临床指南.北京:人民卫生出版社,2006:242.
  • 6Bavaria JE,Brinster DR,Gorman RC,et al.Advances in the treatment of acute type A dissection:an integrated approach.Ann Thorac Surg,2002,74(5):S1848-1852;discussion S1857-1863.

二级参考文献3

共引文献19

同被引文献27

  • 1王佳祥,张建卿,权晓强,王锋,程兆云,崔识远.保留主动脉瓣的主动脉根部修复术治疗主动脉根部动脉瘤[J].中国心血管病研究,2006,4(2):102-103. 被引量:4
  • 2NakajimaT, Kawazoe K, Izumoto H, et al. Risk factors for hypoxemia after surgery for acute type A aortic dissection [ J]. Surg Today ,2006,36 ( 8 ) :680-685.
  • 3Yokota K,Fujii T, Kimura K, et al Life - threatening hypoxemic respiratory failure after repair of acute type a aortic dissection: successful treatment with venoarterial extracorporeal life support using a prosthetic graft attached to the fight axillary artery [ J]. Anesth Analg,2001,92(4) :872-876.
  • 4Matuschak GM. Pulmonary dysfunction after surgery involving cardiopulmonary bypass: do We understand the mechanisms [ J ]. Crit Care Med, 1997,25 ( 11 ) : 1778-1780.
  • 5HOEFER D, RUTYMANN E, RIHA M,et al. Factors influencing intensive care unit length of stay after surgery for acute aortic dissection type A [ J ]. Ann Thorac Surg,2002,73 (3) :714- 718.
  • 6WHITE A, BRODER J, MANDO- VANDRICK J, et al. Acute aortic emergencies-part 2 aortic dissections [ J ]. Adv Emerg Nurs J,2013,35( 1 ) :28-52.
  • 7XU J H,ZHANG X X, CHEN H J, et al. Anesthetic manage- ment of Stanford type A aortic dissection operation [ J ]. Zhong- hua Yi Xue Za Zhi,20 1 2,92 ( 4 1 ) : 2905 - 2908.
  • 8YANG ZH, XIA LM, WEI L, et al. Complications 'after endo- vascular repair of Stanford type A(ascending) aortic dissection [ J]- Eur J Cardiothorac Surg, 2012,42 ( 5 ) : 894- 896.
  • 9WEYMANN A,SCHMACK B, KARCK M, et al. Giant pseud- oaneurysm of the ascending aorta caused by chronic stanford type A aortic dissection [ J ]. Can J Cardiol, 2011,27 ( 6 ) : 871 - 874.
  • 10GUTSCHE M, ROSEN G D, SWIGRIS J J. Connective tissue disease-associated interstitial lung disease: a review [ J ]. Curr Respir Care Rep ,2012,1 (21) :224-232.

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