妊娠期主动脉夹层的综合管理策略  

Comprehensive management of aortic dissection during pregnancy

作　　者：陈苏伟 钟永亮[1] 里程楠[1] 葛翼鹏[1] 乔志钰[1] 孙立忠[1] 朱俊明[1] CHEN Suwei;ZHONG Yongliang;LI Chengnan;GE Yipeng;QIAO Zhiyu;SUN Lizhong;ZHU Junming(Department of Cardiovascular Surgery,Beijing Anzhen Hospital,Beijing,100029,P.R China)

机构地区：[1]北京安贞医院心血管外科,北京100029

出　　处：《中国胸心血管外科临床杂志》2020年第9期1094-1098,共5页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

基　　金：北京市科技重大专项课题(Z171100001017083);国家科技支撑计划项目(2015BAI12B03);心血管疾病精准医学北京实验室(PXM2017_014226_000037)。

摘　　要：主动脉夹层(aortic dissection,AD)是一种高致死率的疾病,如果未得到及时有效治疗,每小时死亡率增加1%~2%,48 h患者的死亡率为50%,2周内患者的死亡率为70%~80%。妊娠期合并AD是一种罕见且更加危重的疾病,同时危及到母亲和胎儿的生命且致死率高。目前此类疾病十分少见,多数文章以小型队列研究和个案报道为主,我们对文献进行回顾总结,以期为这类疾病的综合管理提供临床参考。The aortic dissection(AD) carries high mortality which increases by 1%-2% per hour after onset in untreated patients.Fifty percent of patients will die in 48 hours,and 70%-80% patients will die in 2 weeks without treatment.Moreover,acute AD during pregnancy is a rare and much catastrophic disease with high lethality for the mother and fetus simultaneously.At present,AD is so rare that most articles are mainly small cohort studies and case reports.Therefore,we reviewed literatures in order to provide clinical reference for the comprehensive treatment of AD.

关 键 词：妊娠 主动脉夹层 体外循环 综合治疗 

分 类 号：R714.252[医药卫生—妇产科学]