急性Stanford B型主动脉夹层伴发氧合障碍的研究进展

Research progress of acute Stanford B type aortic dissection with oxygenation impairment

氧合障碍(OI)常发生在急性复杂性Stanford B型主动脉夹层或急性非复杂性Stanford B型主动脉夹层保守治疗期间,并且需要机械通气来维持呼吸功能。目前针对OI的发生机制尚不清楚,具体的治疗时机及方法也处于临床探索阶段,因此本文就OI的定义和预测指标、急性Stanford B型主动脉夹层伴发OI的发病机制及治疗现状进行综述,以期日后为临床治疗提供依据。

Oxygenation impairment(OI)often occurs during the conservative treatment of acute complex Stanford B type aortic dissection or acute uncomplicated Stanford B type aortic dissection,and requires mechanical ventilation to maintain respiratory function.At present,the pathogenesis of OI is still unclear,and the specific treatment opportunity and method are also in the clinical exploration stage.Therefore,this paper reviews the definition and predictive indicators of OI,the pathogenesis and treatment status of acute Stanford B type aortic dissection with OI,in order to provide the basis for clinical treatment in the future.