心脏手术少见而致命的并发症——主动脉夹层
摘要
主动脉夹层(aortic dissection,AD)是指主动脉内的循环血液通过内膜破裂口进入主动脉中层形成血肿,如患者不能得到及时诊断和治疗,在发病最初24h内每小时病死率1%-2%,1周内病死率高达60‰70%。AD发病原因较多,目前医源性AD有上升趋势,其中,心脏直视手术导致的AD,虽然罕见,但风险很高,心脏手术相关的AD并发症病死率高达50%,
出处
《中华胸心血管外科杂志》
CSCD
北大核心
2014年第6期325-327,共3页
Chinese Journal of Thoracic and Cardiovascular Surgery
参考文献19
-
1Williams ML, Sheng S, Gammie JS,et al. Richard E. Clark Award. Aortic dissection as a complication of cardiac surgery : report from the Society of Thoracic Surgeons database [ J ]. Ann Thorac Surg,2010, 90,1812-1817.
-
2Hagan PG, Nienaber CA, Isselbacher EM, et al. The International Regislry of Acute Aortic Dissection(IRAD) : new insights into an old disease[J]. JAMA, 2000, 283:897-903.
-
3Jones TW, Vetto RR, Winterscheid LC, et al. Arterial complications incident to cannulation in open-heart surgery with special reference to the femoralartery [ J ]. Ann Surg , 1960,152:969-974.
-
4Ruchat P, Hurni M, Stumpe F, et al. Acute ascending aortic dissec- tion complicating open heart surgery: cerebral peffusion defines the outcome[ J ]. Eur J Cardiothorac Surg , 1998,14:449-452.
-
5Still RJ, Hilgenberg AD, Akins CW, et al. Intraoperative aortic dis- section [ J ]. Ann Thorac Surg , 1992,53:374-379.
-
6Murphy DA, Craver JM, Jones EL, et al. Recognition and manage- ment of ascending aortic dissection complicating cardiac surgical operations [ J ]. J Thorac Cardiovasc Surg , 1983,85 : 247-256.
-
7Tsutsumi K, Inoue Y, Hashizume K, et al. Risk factor analysis for acute type A aortic dissection after aortic valve replacement[J]. Gen Thorac Cardiovasc Surg,2010,58:601-605.
-
8Estrera AL, Miller CC, Kaneko T, et al. Outcomes of acute type a aortic dissection after previous cardiac surgery[ J]. Ann Thorac Surg, 2010,89 : 1467-1474.
-
9徐志云,邹良建,宋智钢,徐激斌,陆方林,韩林,王志农,赵枫.Stanford A型主动脉夹层外科手术方法和疗效[J].中华胸心血管外科杂志,2007,23(5):295-297. 被引量:10
-
10陈鑫,黄福华,徐明,汪黎明,蒋英硕,邱志兵,肖立琼,陈绪军,刘培生,王睿.孙氏手术治疗急性Stanford A型主动脉夹层[J].中华胸心血管外科杂志,2012,28(6):333-335. 被引量:21
二级参考文献37
-
1孙立忠,刘志刚,常谦,朱俊明,董超,于存涛,熊辉,刘晋萍,王古岩.主动脉弓替换加支架“象鼻”手术治疗Stanford A型主动脉夹层[J].中华外科杂志,2004,42(13):812-816. 被引量:226
-
2徐志云,陆方林,徐激斌,金海,赵枫,王军.直视下补片修补急性A型胸主动脉夹层合并的降主动脉内膜破口[J].第二军医大学学报,2005,26(6):690-691. 被引量:1
-
3Borger MA, Preston M, Ivanov J, et al. Should the ascending aorta be replaced more frequently in patients with bicuspid aortic valve dis- ease? J Thorac Cardiovase Surg, 2004,128:677 -683.
-
4Halstead JC, Meler M, Etz C, et al. The fate of the distal aorta after repair of acute type A aortic dissection. J Thorac Cardiovasc Surg, 2007,133:127-135.
-
5Crawford ES, Kirklin JW, Naflel DC, et al. Surgery for acute disection of ascending aorta. Should the arch be includeq ?. J Thorac Cardiovasc Surg, 1992,104:46-59.
-
6Massimo CG, Prescnti LF, Marranci D,et al. Extended and total aortic resction in the surgical trealnlenl of acute type A aotic dissection : experience with 54 patienls. Ann Thorac Surg, 1988 ,46 :420- 424.
-
7Sabik JF, Lytle BW, Blackstone EH, et al. Long-term effectiveness of operations for ascending aortic dissections. J Thorac Cardiovasc Surg, 2000,119:946-962.
-
8Borst HG, Walterbusch G, Schaps D. Extensive aortic replacement using " elephant trunk" prosthesis. Thorac Cardiovasc Surg, 1983, 31:37-40.
-
9Kato M, Ohnishi K, Kaneko M, et al. New graft-implanting method for thoracic aortic aneurysm or dissection with a stented graft. Circulation, 1996, 94(9 Suppl) : Ⅱ188- Ⅲ193.
-
10Liu 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.
共引文献34
-
1王小雷,翟宇佳,程毅坚.胸部大血管手术的麻醉处理[J].广东医学,2008,29(11):1845-1846.
-
2张蕴,赵婷婷,荐志洁,李晨霞,刘亚民,田红燕,白晓军,许锁春.64层螺旋CT血管成像在主动脉夹层术前的评价与应用[J].实用放射学杂志,2009,25(7):1024-1028. 被引量:8
-
3周洁松,屠杰梅,张志敏.Standford A型主动脉夹层累及冠状动脉外科治疗的手术护理[J].解放军护理杂志,2010,27(20):1568-1569.
-
4韩林,徐志云,邹良建,陆方林,徐激斌,郎希龙,唐昊,张冠鑫.StanfordA型主动脉夹层累及冠状动脉23例的外科处理[J].中华胸心血管外科杂志,2011,27(4):247-247.
-
5唐杨烽,徐激斌,谈梦伟,宋智钢,韩林,陆方林,徐志云,邹良建.Stanford A型主动脉夹层外科治疗的危险因素分析[J].中华临床医师杂志(电子版),2012,6(2):171-172. 被引量:6
-
6李丽芳.Ⅰ型主动脉夹层急诊手术护理配合[J].按摩与康复医学,2012,3(11):150-150.
-
7龚德军,陶婧,袁扬,刘晓红,谈梦伟,张锡武,陆方林,韩林,徐志云,黄盛东.氨基脲缓释给药孕鼠诱导建立新生鼠胸主动脉夹层模型[J].第二军医大学学报,2013,34(9):965-968. 被引量:1
-
8褚银平,高奇英,张羽,崔少鹏,张栋.心脏直视术后死亡原因及处理[J].中西医结合心脑血管病杂志,2013,11(9):1151-1152. 被引量:1
-
9秦卫,黄福华,肖立琼,刘圣辰,陈鑫.夜间急诊主动脉夹层手术并不增加住院死亡率[J].中国胸心血管外科临床杂志,2013,20(5):542-545. 被引量:3
-
10费忠化,仇杰,马冬纹,刘新梅,蔡国强,刘宏生,褚衍林.主动脉夹层深低温停循环术后并发高钠血症原因分析[J].心肺血管病杂志,2013,32(5):594-597. 被引量:5
-
1袁志敏.流感疫苗可降低急性冠状动脉综合征患者继发心血管事件风险[J].心血管病学进展,2012,33(2):157-157. 被引量:1
-
2秦雯.主动脉夹层患者的急诊救治体会[J].中国冶金工业医学杂志,2012,29(5):607-608.
-
3陈晨.急性主动脉夹层38例临床分析[J].中国基层医药,2010,17(4):527-527. 被引量:3
-
4黄霭莲.主动脉夹层瘤患者围手术期的健康教育[J].护理实践与研究,2006,3(7):46-47. 被引量:1
-
5金焱,黄振文.主动脉夹层42例临床分析[J].中国实用医刊,2009,36(5):81-82. 被引量:3
-
6张道远.主动脉夹层伴急性肾功能衰竭2例误诊分析[J].中原医刊,2006,33(13):82-82. 被引量:1
-
7陈松娟,徐延芹.主动脉夹层瘤的临床观察及护理[J].工企医刊,2005,18(6):50-50.
-
8徐济民.与动脉粥样硬化有关的九因素[J].家庭用药,2009(5):14-14.
-
9任淑红.浅谈主动脉夹层的诊治[J].社区医学杂志,2010,8(20):12-14.
-
10粱玲.主动脉夹层25例临床分析[J].咸宁学院学报(医学版),2010,24(1):32-33.