杂交技术在Stanford A型主动脉夹层的应用被引量：1

Application in hybrid surgery for Stanford type A aortic dissection

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摘要 Stanford A型主动脉夹层(type A aortic dissection,TAAD)病情凶险,可引起急性脑梗死、心包填塞、休克等发生,甚至会造成病人死亡,是主动脉夹层疾病最危重的类型[1].发病24~48小时内死亡率每小时增加1%,2周内死亡率高达90%.手术是治疗TAAD唯一有效的方法,TAAD解剖复杂、手术难度大、手术时间长、用血量多、并发症发生率和病死率较高.升主动脉的手术策略,争议不大,弓部因其涉及弓上分支的重建,解剖复杂,手术术式没有统一的定论.TAAD主动脉弓部血管的处理方式常常影响术后的结果.传统开放手术需在深低温体外循环等辅助下进行,手术操作复杂,创伤大,手术时间长,用血量大,凝血功能紊乱,导致术后神经系统、肺部感染等并发症发病率高,死亡率高,术后病人恢复慢.

作者丁帅马先桃程才 DING Shuai;MA Xiantao;CHENG Cai

机构地区华中科技大学附属同济医院心脏大血管外科

出处《临床外科杂志》 2019年第11期935-937,共3页 Journal of Clinical Surgery

关键词 STANFORD A型主动脉夹层人工血管杂交技术弓部病变

分类号 R54 [医药卫生—心血管疾病]

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3董帅,鄢光华,刘瑞生,祁泉,宋兵.比较孙氏手术与去分支化杂交手术治疗急性Ⅰ型主动脉夹层的疗效[J].国际心血管病杂志,2019,46(3):159-163. 被引量：9

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