危重血管疾病急症处理  

Treatments for critical situation in vascular surgery

作　　者：张红超[1] 陈霞[1] 刘朝中[1] 李令珂[1] 陈元恒[1] 侯迈[1] 王翠霞[1] 郑海滨[1] 杨磊磊[1] 

机构地区：[1]空军总医院心血管外科,北京市100142

出　　处：《中国心血管病研究》2014年第4期327-329,共3页Chinese Journal of Cardiovascular Research

摘　　要：目的 探讨危重血管外科急症的处理特点.方法 2005年1月至2012年12月我院共收治45例危重血管疾病急症患者,其中男性34例,女性11例,平均年龄（57.5±12.4）岁,体重（68.78±14.44）kg,急诊入院或转院36例,一般住院病情恶化9例.结果 生存率86.67％,死亡率13.33％.平均住院时间20.5 d.主要并发症为出血、高血压、中风、截瘫、心脏事件、急腹症、内脏缺血、疼痛与精神症状、胸腔积液等.结论 对于危重血管外科急症,不仅要有综合的专科治疗技术,精确的重症处理技术同样不可缺少.Objective The critical patients in vascular surgery are common with a high mortality.The management of these patients has many special features reported in this paper.Methods There were 45 patients reported from 2005-01-01 to 2012-12-30（male 34 and female 11）.36 cases were taken in by emergency,and 9 cases were deteriorated from in-hospital patients.Results The survival rate was 86.67％ vs mortality 13.33％.The main complications included：hemorrhage,hypertension,stroke,paraplegia,cardiac events,acute abdomen events,viscus ischemia,pain and mental symptom and pleural effusion.Conclusion Not only professional skill but also corrected perioperative management is very important for critical vascular surgery patients.

关 键 词：危重 血管外科 急症 

分 类 号：R654.2[医药卫生—外科学]