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288例主动脉夹层动脉瘤护理探讨 被引量：18

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摘要 主动脉夹层动脉瘤是最危险、最常见的主动脉疾病,主动脉中层结构异常、发生病理改变,血压变化造成血管壁横向切应力增大,引起壁间血肿蔓延、主动脉内膜撕裂,从而形成主动脉夹层[1-2]。该疾病病情极其凶险,如未经治疗,33%在24 h内死亡,50%在48 h内死亡,80%在1周内死亡[3]。病变累及升主动脉、动脉弓和降主动脉的为De BakeyⅠ型及Ⅱ型主动脉夹层瘤,
作者 冯丽萍 武丽娟 李爱霞
机构地区 江苏大学附属人民医院心胸外科ICU
出处 《实用临床医药杂志》 CAS 2016年第2期152-154,共3页 Journal of Clinical Medicine in Practice
关键词 主动脉夹层动脉瘤 规范护理 延续护理
分类号 R473.73 [医药卫生—护理学]
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参考文献17

  • 1Howard D P,Banerjee A,Fairhead J F,et al.Populationbased study of incidence and outcome of acute aortic dissection and premorbid risk factor control:10-year results from the oxford vascular study[J].Circulation,2013,127(20):2031.
  • 2Goldfinger J Z,Halperin J L,Marin M L,et al.Thoracic aortic aneurysm and dissection[J].Journal of the American College of Cardiology,2014,64:1725.
  • 3Conzelmann L O,Weigang E,Mehlhorn U,et al.Mortality in patients with acute aortic dissection type a:Analysis of pre-and intraoperative risk factors from the german registry for acute aortic dissection type a(geraada)[J].European journal of cardio-thoracic surgery:official journal of the European Association for Cardio-thoracic Surgery,2015:ezv356.
  • 4Sun L,Qi R,Zhu J,et al.Total arch replacement combined with stented elephant trunk implantation:A new"standard"therapy for type a dissection involving repair of the aortic arch?[J].Circulation,2011,123(9):971.
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  • 8Khan I A,Nair C K.Clinical,diagnostic,and management perspectives of aortic dissection[J].Chest,2002,122(1):311.
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二级参考文献17

共引文献144

同被引文献111

引证文献18

二级引证文献65

实用临床医药杂志
2016年 第2期

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