急性主动脉夹层并发急性肺损伤的研究进展

Research progress on acute aortic dissection complicated with acute lung injury

急性主动脉夹层(acute aortic dissection,AAD)是一种严重的、致命的心血管疾病,发病率和病死率高。急性肺损伤(acute lung injury,ALI)是AAD患者围手术期常见的并发症之一,ALI的发生严重影响了AAD患者的预后,增加病死率。因此,AAD并发ALI的预防和治疗是目前临床上亟待解决的难题。本文对AAD患者围手术期并发ALI的危险因素、病理机制及预防和治疗的研究进展进行综述。

Acute aortic dissection is a critical and fetal cardiovascular disease with high morbidity and mortality.Acute lung injury is one of the common complications in the perioperative period of acute aortic dissection,which has serious effects on the prognosis of patients with acute aortic dissection and increase the mortality.Therefore,the prevention and treatment of acute lung injury complicated by acute aortic dissection is an urgent problem in clinic.This paper reviewed the risk factors,pathogenesis,methods for preservation and treatment for acute lung injury complicated by acute aortic dissection.