主动脉夹层腔内隔绝术后并发急性脊髓缺血性损伤一例报道  

A Case Of Acute Spinal Cord Ischemic Injury After Endovascular Stent Placement For Aortic Dissection And Review

作　　者：王晓龙[1] 贺飞[2] 雷明灿[1] 徐靖宇[1] 施巩宁[2] 王勇[1] 

机构地区：[1]河南大学淮河医院重症医学科,河南开封475000 [2]河南大学淮河医院心胸外科,河南开封475000

出　　处：《河南大学学报（医学版）》2014年第3期211-213,共3页Journal of Henan University:Medical Science

摘　　要：主动脉夹层(aortic dissection,AD)是一种急性大血管疾病,起病较急、病情凶险、病死率高。目前,临床上应用比较多的分型方法是DeBakey分型和Stanford分型,腔内隔绝术具有创伤小,围手术期并发症率和死亡率均较低等优点,但其致命的缺点是无法重建闭塞的动脉。脊髓缺血性损伤是围手术期较为严重的并发症,对其进行有效预防、早期监测、早期发现及早期治疗具有十分重要的意义。Aortic dissection is one of the most catastrophic diseases.With the progress of treatment,stent-graft placement with less trauma,and perioperative complications and mortality rates were low;but its fatal flaw is unable to rebuild the occluded artery.Neurologic complications and spinal cord ischemic injury in particular remain the most dreadful potential complications of endovascular stent placement.At present,the exact mechanism is not completely understood,the early prevention,early detection,early detection and early treatment is very important.

关 键 词：主动脉夹层 腔内隔绝术 脊髓缺血 

分 类 号：R654.3[医药卫生—外科学]