Background:Type A aortic intramural hematoma(IMH)is characterized by aortic lesions involving the ascending aorta and aortic arch,with no detectable intimal tear on imaging,no true or false lumen,and no direct communi...Background:Type A aortic intramural hematoma(IMH)is characterized by aortic lesions involving the ascending aorta and aortic arch,with no detectable intimal tear on imaging,no true or false lumen,and no direct communication between the hematoma and the vascular lumen.The typical pathological changes present as annular or crescent-shaped thickening of the ascending aortic wall.Due to the substantially higher risk associated with Type A IMH compared to Type B IMH,treatment approaches vary across countries and medical centers,with the primary treatment strategies being closely related to surgical interventions.Previous risk factors for Type A IMH mainly focused on aortic diameter and hematoma thickness;however,our research group is the first to consider hematoma volume as a risk factor.This article provides a comprehensive review of Type A IMH and an outlook on its risk factors.展开更多
Objective: To explore the nursing experience of digestive function after thoracic and abdominal aortic replacement in order to promote the better recovery. Methods: 25 patients undergoing thoracic and abdominal aortic...Objective: To explore the nursing experience of digestive function after thoracic and abdominal aortic replacement in order to promote the better recovery. Methods: 25 patients undergoing thoracic and abdominal aortic replacement were managed after operation. First, the fluid volume and blood pressure were controlled, and the use of vasoactive drugs was strictly regulated to ensure the perfusion of abdominal organs. And the enteral nutrition is carried out as early as possible to accelerate the recovery of gastrointestinal function of patients;And multimode analgesia is adopted to promote patients to get out of bed as early as possible to recover gastrointestinal peristalsis;At the same time, anticoagulation management is strengthened to prevent microthrombosis. Results: 23 of 25 patients after thoracic and abdominal aortic replacement recovered well and discharged smoothly. 2 Cases died,1 case died of hemorrhagic shock due to rupture of abdominal great vessels, and 1 case died of multiple organ failure due to septic shock. Conclusion: To strengthen the maintenance of digestive function, ensure the blood perfusion of gastrointestinal tract, get out of bed early, promote the gastrointestinal peristalsis and implement enteral nutrition as early as possible, can promote the recovery of gastrointestinal function, accelerate the rehabilitation process and shorten the hospitalization time.展开更多
基金supported by research grants from the Guangzhou Science and Technology Program key projects(No.202002020037)
文摘Background:Type A aortic intramural hematoma(IMH)is characterized by aortic lesions involving the ascending aorta and aortic arch,with no detectable intimal tear on imaging,no true or false lumen,and no direct communication between the hematoma and the vascular lumen.The typical pathological changes present as annular or crescent-shaped thickening of the ascending aortic wall.Due to the substantially higher risk associated with Type A IMH compared to Type B IMH,treatment approaches vary across countries and medical centers,with the primary treatment strategies being closely related to surgical interventions.Previous risk factors for Type A IMH mainly focused on aortic diameter and hematoma thickness;however,our research group is the first to consider hematoma volume as a risk factor.This article provides a comprehensive review of Type A IMH and an outlook on its risk factors.
文摘Objective: To explore the nursing experience of digestive function after thoracic and abdominal aortic replacement in order to promote the better recovery. Methods: 25 patients undergoing thoracic and abdominal aortic replacement were managed after operation. First, the fluid volume and blood pressure were controlled, and the use of vasoactive drugs was strictly regulated to ensure the perfusion of abdominal organs. And the enteral nutrition is carried out as early as possible to accelerate the recovery of gastrointestinal function of patients;And multimode analgesia is adopted to promote patients to get out of bed as early as possible to recover gastrointestinal peristalsis;At the same time, anticoagulation management is strengthened to prevent microthrombosis. Results: 23 of 25 patients after thoracic and abdominal aortic replacement recovered well and discharged smoothly. 2 Cases died,1 case died of hemorrhagic shock due to rupture of abdominal great vessels, and 1 case died of multiple organ failure due to septic shock. Conclusion: To strengthen the maintenance of digestive function, ensure the blood perfusion of gastrointestinal tract, get out of bed early, promote the gastrointestinal peristalsis and implement enteral nutrition as early as possible, can promote the recovery of gastrointestinal function, accelerate the rehabilitation process and shorten the hospitalization time.
