131例主动脉病变的治疗体会  

Surgical therapy for aortic disease: a single-center analysis of 131 patients

作　　者：龙翔[1] 吴永兵[1] 张小强[1] 朱书强[1] 董啸[1] 唐燕华[1] 杨崛圣[1] 周建良[1] 杨威[1] 徐建军[1] 

机构地区：[1]南昌大学第二附属医院心胸外科,南昌330006

出　　处：《江西医药》2013年第9期759-763,共5页Jiangxi Medical Journal

基　　金：联合国儿童基金会项目(YY106/61)

摘　　要：目的总结131例各类主动脉病变的治疗经验。方法回顾性分析我院2004年6月至2013年5月予以不同治疗方法的131例各类主动脉疾病患者的临床资料。结果 1例行升主动脉置换+半弓置换的患者因出现难以控制的大出血于术中死亡,4例术后住院期间死亡,死亡原因分别为术后多器官功能衰竭及纵膈感染(1例);126例患者顺利出院。结论主动脉疾病复杂多样,应根据患者年龄,病变情况,各器官功能状态等进行个体化治疗。Objective To summarize the experience of surgical therapy for aortic disease. Methods 131 cases of aortic dis- ease were collected and studied between June 2004 and May 2013. Results One case operated with aortic replacement and hemi- arch replacement died iutraoperatively because of uncontrellable bleeding;four cases died postoperatively in hospital for MODS （three cases） and mediastinal infection （one case） , respectively. Other patients were all discharged safely. Conclusion Surgical treatment for ascending aortic disease should be individualized to achieve a relatively satisfied outcome, as the disease varies a- mong patients in age, complications, organ function, etc..

关 键 词：主动脉夹层 升主动脉瘤 支架 腔内隔绝术 

分 类 号：R543.16[医药卫生—心血管疾病]