急性Stanford A型主动脉夹层合并脑灌注不足的诊治现状

Diagnosis and treatment of acute Stanford type A aortic dissection combined with cerebral hypoperfusion

急性Stanford A型主动脉夹层合并有脑部低灌注在临床上并不多见,但严重影响患者的治疗效果和远期生活质量。为了改善这类患者的预后,越来越多的心脏外科医师致力于研究如何进一步优化其围手术期管理策略。本文结合相关的文献,对该种疾病合并脑灌注不足的发生机制、鉴别诊断以及治疗等在近几年的进展作一综述。

Acute Stanford type A aortic dissection combined with cerebral hypoperfusion is rarely seen in clinical practice,but it has serious impact on clinical efficacy and long-term quality of life of patients.In order to improve the prognosis of these patients,an increasing number of cardiac surgeons are investigating how to further optimize their perioperative management strategies.In this paper,the recent Progress of pathogenesis,differential diagnosis and treatment of Acute Stanford type A aortic dissection combined with cerebral hypoperfusion were reviewed.