摘要
主动脉夹层是危重而凶险的心血管疾病,其死亡率高、并发症多,严重威胁患者的生命,2008年1月至2011年11月我们外科手术治疗32例主动脉夹层的患者,效果满意,现报道如下。一、资料与方法1.一般资料:本组共32例,男20例,女12例。年龄29~63岁,平均年龄(43±8.5)岁。其中DebakeyⅠ型15例,DebakeyⅡ型2例,DebakeyⅢ型15例。
出处
《中华临床医师杂志(电子版)》
CAS
2012年第6期185-186,共2页
Chinese Journal of Clinicians(Electronic Edition)
参考文献8
-
1Chen X,Huang F,Xu M,et al.The stented elephant trunk procedure combined total arch replacement for Debakey I aortic dissection:operative result and follow-up.Interact CardioVasc Thorac Surg,2010,11:594-598.
-
2Pochettino A,Brinkman WT,Moeller P,et al.Antegrade thoracic stent grafting during repair of acute DeBakey I dissection prevents development of thoracoabdominal aortic aneurysms.Ann Thorac Surg,2009,88:482-489.
-
3Liu ZG,Sun LZ,Chang Q,et al.Should the“elephant Trunk”be skeletonized?Total arch replacement combined with stented elephant trunk implantation for Stanford type A aortic dissection.J Thorac Cardiovasc Surg,2006,131:107-113.
-
4Svensson LG,Kouchoukos NT,Miller DC,et al.Society of thoracic surgeons endovascular surgery task force.Expert consensus document on the treatment of descending thoraeieaortie disease using endovascular stent-grafts.Ann Thorac Surg,2008,85:s1-41.
-
5Tsai TT,Fattori R,Trimarchi S,et al.Long-term survival in patients presenting with type B acute aortic dissection:insights from the International registry of acute aortic dissection.Circulation,2006,114:2226-2231.
-
6Salazar JD,Coleman RD,Griffith S,et al.Selective cerebral perfusion:real-time evidence of brain oxygen and energy metabolism preservation.Ann Thorac Surg,2009,88:162-169.
-
7Buz S,Zipfel B,Mulahasanovic S.Conventional surgical repair and endovascular treatment of acute traumatic aortic rupture.Eur J Cardiothorac Surg,2008,33:143-149.
-
8Chiesa R,Melissano G,Civilini E,et al.Ten years experience of thoracic and thoracoabdominal aortic aneurysm surgical repair:lessons learned.Ann Vasc Surg,2004,18:514-520.
同被引文献27
-
1许尚栋,黄方炯,李志忠,王学勇,杨禁非,蔡克强,范占明,杜嘉会,张兆光.覆膜支架主动脉腔内修复治疗主动脉夹层78例[J].中华胸心血管外科杂志,2006,22(3):149-151. 被引量:20
-
2Liu ZG,Sun LZ,Chang Q. Should the "elephant trunk"be skel-etonized. Total arch replacement combined with stented elephant trunk implantation for Stanford type A aortic dissection[J].J Thorac Card-iovasc Surg,2006.107-113.
-
3Hata M,Shiono M,Inoue T. Optimal treatment of type B acute aortic dissection:long-term medical follow-up results[J].Annals of Thoracic Surgery,2003.1781-1784.
-
4Buffolo E,da Fonseca JH,de Souza JA. Revolutionary treatment of aneurysms and dissections of descending aorta:the endovascular ap-proach[J].Annals of Thoracic Surgery,2002.S1815-1817,discussionS1825-1832.
-
5Langer F,Aicher D,Kissinger A. Aortic valve repair using a dif-ferentiated surgical strategy[J].Circulation,2004.II67-II73.
-
6Leontyev S,Trommer C,Subramanian S. The outcome after aortic valve-sparing(David)operation in 179 patients:a single-centre experi-ence[J].European Journal of Cardio-Thoracic Surgery,2012.261-266.
-
7Bergeron P,Mangialardi N,Costa P. Great vessel management for endovascular exclusion of aortic arch aneurysms and dissections[J].European Journal of Vascular and Endovascular Surgery,2006.38-45.
-
8Jakob H,Tsagakis K,Dohle DS. Hybrid room technology as a prerequisite for the modern therapy of aortic dissection[J].Herz,2011.525-530.
-
9Svensson LG,Crawford ES,Hess KR. Deep hypothermia with circulatory arrest.Determinants of stroke and early mortality in 656 patients[J].Journal of Thoracic and Cardiovascular Surgery,1993.19-28.
-
10Maniar HS,Sundt TM 3rd,Prasad SM. Delayed paraplegia after thoracic and thoracoabdominal aneurysm repair:a continuing risk[J].Annals of Thoracic Surgery,2003.113-119.
引证文献3
-
1陈晓辉,孙晓艳,曹殿波.胸主动脉假性动脉瘤破入肺内所致咯血三例[J].中华临床医师杂志(电子版),2012,6(19):6183-6185. 被引量:2
-
2詹必成,刘建,杜少鸣,陈剑,张凡.胸主动脉夹层26例的手术治疗[J].中华临床医师杂志(电子版),2013,7(9):51-54. 被引量:3
-
3刘艳,周玲,郑敏娟.超声对Stanford A型主动脉夹层患者颈部动脉受累伴发血栓的血管评估价值[J].中华医学超声杂志(电子版),2020,17(9):860-865. 被引量:3
二级引证文献8
-
1高文,江薇,张国强.以上消化道出血为首发症状的降主动脉假性动脉瘤1例[J].中日友好医院学报,2013,27(3):188-188.
-
2郭建洲,刘志红,马琰琰,杨建安.外科治疗主动脉夹层265例临床分析[J].中国现代医生,2014,52(14):141-143. 被引量:1
-
3樊美凤,周韶璋.肺癌切除术中大出血相关因素调查分析[J].中国现代医生,2014,52(22):7-10. 被引量:2
-
4朱晓丽,王峥,郑敏娟,刘丽文,徐磊,刘从伟.超声联合CTA在Stanford A型主动脉夹层术后随访中的应用价值[J].中国超声医学杂志,2016,32(9):794-796. 被引量:12
-
5巢雄杰,周定中,龙文兴,邹暾,李庆.胸主动脉瘤伴声音嘶哑、咯血1例[J].中国血管外科杂志(电子版),2017,9(1):59-60. 被引量:1
-
6姜舒,王小丛,张艳丽,于微,裴莉平.床旁超声心动图诊断主动脉夹层动脉瘤内膜撕脱一例[J].中华医学超声杂志(电子版),2021,18(4):431-432. 被引量:2
-
7占晓洁,蒋媛媛,黄小川.床旁超声心动图在Stanford A型主动脉夹层中的应用价值[J].中国卫生标准管理,2024,15(10):99-103.
-
8刘秀美,赵馨,李少巍,陈蕊,王立伟.颈部血管超声联合超声心动图诊断高血压心脏病的应用价值[J].影像研究与医学应用,2024,8(13):99-101.
-
1裘存新,汪靖.主动脉夹层24例临床分析[J].实用临床医学(江西),2010,11(1):30-32.
-
2景华,张石江,李忠东,李德闽,董国华,钱建军.10例DeBakeyIII型胸主动脉瘤的外科治疗[J].中华胸心血管外科杂志,2000,16(1):40-41. 被引量:4
-
3谷梦楠,罗建方,黄文晖,薛凌,陈纪言.主动脉夹层DeBakey Ⅲ型发生相关因素的临床研究[J].实用医学杂志,2015,31(12):1929-1932. 被引量:3
-
4王惠歆,陈发东,李景霞,张新刚,沈洪.主动脉夹层285例心电图分析[J].中国临床医学,2010,17(2):259-261. 被引量:6
-
5佘亮,何光辉,努尔巴哈提.主动脉夹层DebakeyⅢ型合并脑梗死1例分析[J].中国误诊学杂志,2010,10(16):3880-3880.
-
6邢春杰,张艳辉,刘桂霞,陈云秋.主动脉夹层动脉瘤(DeBaKeyⅢ型)2例报告[J].临床医学,2002,22(6):40-40.
-
7马胜军,冯致余,马增山,董铭锋,刘桂清,柴守栋,唐培哲.外科治疗DeBakey III型主动脉夹层动脉瘤17例[J].中华胸心血管外科杂志,2006,22(1):55-55. 被引量:3
-
8黄建波,周建华,左晓静,单文军,热娜.腔内隔绝术治疗主动脉夹层动脉瘤28例疗效观察[J].北京医学,2013,35(1):60-61. 被引量:5
-
9袁庆文,符伟国,陈福真,郭大乔,徐欣.主动脉夹层38例临床分析[J].江西医学院学报,2003,43(3):14-14.
-
10赵昶,李治安.彩色多普勒超声在急诊主动脉夹层诊断中的应用价值[J].中国医药,2013,8(7):906-908. 被引量:8