急性主动脉夹层并发低氧血症的相关危险因素研究进展

Research progress on related risk factors for acute aortic dissection complicated with hypoxemia

急性主动脉夹层是紧急且危重的临床常见疾病,常常以胸背痛首诊,首诊误诊率及其病死率较高,预后也较差,其导致血供障碍常常会引发多器官衰竭,其中急性主动脉夹层并发低氧血症并不少见。此综述将主动脉夹层并发低氧血症的可能相关危险因素按手术前、围手术期、手术后中相关的个体因素、实验室检查、病理生理机制等进行综合阐述,为寻找针对低氧血症相关危险因素的干预方法提供科学的理论依据。

Acute aortic dissection is an urgent and critical clinical common disease,which is often first diagnosed with chest and back pain,with a high rate of misdiagnosis and death,and a poor prognosis.It leads to blood supply disorders,and thus often results in multiple organ failure,among which acute aortic dissection complicated with hypoxemia is not uncommon.This review synthesizes the possible risk factors associated with aortic dissection complicating hypoxemia by individual factors,laboratory tests,and pathophysiological mechanisms at preoperative,perioperative,and postoperative periods,and provides a scientific and theoretical basis for finding interventions to address the risk factors associated with hypoxemia.