43例主动脉夹层的外科治疗  

Surgical treatment of 43 patients with aortic dissection

作　　者：潘东华[1] 杜振宗[1] 阮富贵 李燕萍[1] 王海永[1] 

机构地区：[1]桂林医学院附属医院心胸外科,广西桂林541001

出　　处：《华夏医学》2015年第6期74-77,共4页Acta Medicinae Sinica

基　　金：国家自然科学基金(81160296);广西自然科学回国基金(2013GXNSFCB019005);广西卫生厅医疗卫生计划课题基金(Z2015397)资助

摘　　要：目的：探讨主动脉夹层（aortic dissection,AD）患者的外科治疗方法。方法：回顾性分析2010年1月至2014年7月在桂林医学院附属医院心胸外科住院治疗的43例主动脉夹层患者的临床资料。结果：本组患者中15例行主动脉覆膜支架植入术,术后人工血管通畅;10例在体外循环下接受外科手术治疗,术后早期并发症少,其中术后出现低心排1例,1例出血量偏多。术后死亡1例,自动出院9例,其余患者随访5~60个月,无夹层破裂,无再次手术,无死亡。结论：早期及时明确诊断和个体化的手术方案能有效减少主动脉夹层患者病死率,降低严重并发症的发生。Objective：To study the surgical treatment of aortic dissection.Methods：Between January 2010 and July 2014 in The Department of Cardiothoracic Surgery Affiliated Hospital of Guilin Medical University,Clinical data of 43 patients with aortic dissection were retrospectively analyzed.Results：Among 15 cases proceeded with aortic endovascular stent graft implantation,there was graft patency in endovascular stent after surgery,10 cases were underwent cardiothoracic surgical treatment with cardiopulmonary bypass（CPB）.There were little early postoperative complication,which included low cardiac output in 1patients,bleeding in 1patient.One patient died in the CPB group,9cases auto discharged.Follow-up duration for other cases raged from 5to 60 months,there was no death or re-operation or no rupture during the follow-up.Conclusion：Definite diagnosis in early stage and individualized treatment can improve the survival rate of AD and reduce the incidence of serious complications.

关 键 词：主动脉夹层 早期诊断 个体化治疗 

分 类 号：R654.3[医药卫生—外科学]