主动脉夹层动脉瘤腔内隔离术后并发急性脊髓缺血损伤一例护理
摘要
1病例介绍
患者男,51岁。因"反复胸痛1 d,高血压史10余年且未规律服用降压药"于2011年4月急症收入我院心脏加护病房(CCU)治疗,诊断为:①主动脉夹层(B型);②高血压Ⅱ级,极高危;③轻度贫血,中度低蛋白血症;④Ⅰ型呼吸衰竭。经抗感染、降压、控制心率及营养支持等对症支持治疗,
出处
《华西医学》
CAS
2012年第12期1847-1848,共2页
West China Medical Journal
参考文献3
-
1刘锋,管玉龙,董培青.主动脉手术的脊髓保护[J].中国胸心血管外科临床杂志,2006,13(1):43-46. 被引量:3
-
2Wada T, Yao H, Miyamoto T, et al. Prevention and detection of spinal cord injury during thoracic and thoracoabdominal aortic repairs[J]. Ann Thomc Surg, 2001, 72(1): 80-84.
-
3Jeong YB, Choi WJ, Hart SH, et al. Cerebral epidural hematoma following cerebrospinal fluid drainage during thoracoabdominal aortic repair[J]. Acta Anaesthesiol Scand, 2009, 53(9): 1221-1222.
二级参考文献27
-
1金保纯,李金库,王景德.脊髓动脉及其配布形式[J].解剖学报,1985(1):21-27. 被引量:18
-
2Ross SD, Kron IL, Parrino PE, et al. Preservation of intercostal arteries during thoracoabdominal aortic aneurysm surgery: a retrospective study. J Thorac Cardiovasc Surg, 1999,118(1):17-25.
-
3Wada T, Yao H, Miyamoto T, et al. Prevention and detection of spinal cord injury during thoracic and thoracoabdominal aortic repairs.Ann Thorac Surg,2001,72(1):80-85.
-
4Tabayashi K.Takahashi G.Motoyoshi N,et al.Spinal cord proteation during most or all of descending thoracie or thoracoabdominal ancurysm repair.Kyobu Geka.2004,57(4):301-306.
-
5Tabayashi K.Spinal cord protection during thoracoabdominal aneurysm repair.Surg Today,2005,35(1):1-6.
-
6Salzman SK.Acosta R.Beck G.et al.Spinal endothelin content is elevated after moderate locat trauma in the rat to levels associated with lccomotor dysfunction after intrathecal injection.J Neurotrauma,1996,13(2):93-101.
-
7Kanellopoulos GK.Xu XM.Hsu CY.et al.White matter injury in spinal cord ischemia:protection by AMPA/kainate glutamate receptor antagonism Stroke,2000,31(8):1915-1952.
-
8Kipnis J.Yoles E.Porat Z,et al.T cell immunity to copolymer 1 ronfers neuroprotection on the damaged optic nerve:possible therapy for optic neuropathies.Proc Natl Acad Sei USA.2000,97(13):7446-7451.
-
9Griepp RB.Ergin MA.Galla JD.et al.Looking for the artery of Adamkiewicz:a quest to atinirtize paraplegia after operations for aneurysms of the descending thoracic and thoracoabdominal aorta.J Thorac Cardiovasc Surg,1996.112(5):1202-1215.
-
10Ciselli JS.LeMaire SA.Conklin LD.et al.Left heart bypass during descending thoracic aortic aneurysm repair does not reduce the incidence of paraplegia.Ann Thorac Surg,2004,77(4):1298-1303.
共引文献2
-
1郭曦,黄小勇,李彭,薛玉国,刘光锐,韩晓峰,陈菲,任长伟,许尚栋,黄连军.覆膜支架长段覆盖降主动脉实施腔内修复术对脊髓血供的影响[J].中华胸心血管外科杂志,2014,30(9):539-542. 被引量:16
-
2徐升,夏永庆,王春泉.从病理解剖角度理解主动脉夹层临床表现多样性的本质[J].中国现代医生,2015,53(27):63-67. 被引量:1
-
1马贵洲,徐荣和,余丹青,蔡志雄.主动脉夹层神经系统并发症的研究进展[J].心血管病学进展,2010,31(3):422-426. 被引量:17
-
2杨静,韩新生,何蕴,裘丽红.以截瘫为主要临床表现的主动脉夹层动脉瘤2例临床分析[J].临床荟萃,2005,20(7):400-401. 被引量:5
-
3陈育苗,刘兴鹏,董建增,龙德勇,喻荣辉,汤日波,刘小慧,马长生.环肺静脉前庭隔离术终止持续性心房颤动的临床预测因素[J].中国心脏起搏与心电生理杂志,2010,24(5):417-419. 被引量:2
-
4张鹤萍,王蕊,王晓云,韩志刚,林平,李学奇.12例阵发性心房颤动的射频消融治疗[J].中国心脏起搏与心电生理杂志,2004(z1).
-
5唐真明,罗秀玲.主动脉夹层导致脊髓缺血延误诊断6例[J].中国医学创新,2009,6(5):108-108.
-
6潘爱忠,杨滇,冯利民,曹玉凡,姚汉.主动脉夹层动脉瘤的影像学诊断(附10例分析)[J].齐齐哈尔医学院学报,1995,16(4):263-264.
-
7高鹏,熊利泽,路志红,李万鹏,孟静茹.缺血后处理对兔脊髓缺血再灌注损伤中MDA和SOD的影响[J].第四军医大学学报,2006,27(14):1273-1275. 被引量:13
-
8华丽,郑红薇,潘银殊,陈娟.左心房肺静脉前庭电解剖隔离术治疗心房颤动患者的护理[J].中国实用护理杂志,2007,23(10):23-24.
-
9孙徐妹,王小艺,盛冬美,费新萍,李海燕.脑脊液引流预防胸腹主动脉瘤腔内隔绝术后脊髓缺血损伤的效果及护理[J].解放军护理杂志,2010,27(15):1163-1164. 被引量:4
-
10苏建华,李美英,凤兆海.主动脉夹层致脊髓及下肢缺血2例分析[J].中国实用神经疾病杂志,2015,18(1):132-133. 被引量:2