Stanford A型主动脉夹层患者术后低氧血症的防治研究进展  

The progress of strategy to prevent and treat the hypoxia for postoperative patients with aortic dissection of Stanford type A

作　　者：李婳 孟维鑫[1] 康凯[2] LI Hua;MENG Wei-xin;KANG Kai(Deparment of Cardiovascular Surgery,Ist Afiliated Hospital of Harbin Medical University,Harbin 150001.China;Department of Cardiovascular Surgery,2nd Afiliated Hospial of Harbin Medical University,Harbin 150086.China)

机构地区：[1]哈尔滨医科大学附属第一医院心外科,黑龙江省哈尔滨市150001 [2]哈尔滨医科大学附属第二医院心外科

出　　处：《中国心血管病研究》2020年第9期831-835,共5页Chinese Journal of Cardiovascular Research

基　　金：国家自然科学基金(81871501、81770355);黑龙江省自然科学基金(H2018021、H2018037);黑龙江省博士后科研启动基金项目(LBH-Q17094)。

摘　　要：Stanford A型主动脉夹层是心脏外科的急危重症,其自然病程极为凶险,严重影响患者的生命安全及生活质量.目前认为,急诊的外科手术治疗是改善此类患者预后最有效的手段,但由于该手术难度高、时间长且需要在深低温停循环下进行,术后低氧血症的发生率极高.低氧血症的发生不仅增加了患者的痛苦和经济负担,更增加了其院内病死率.因此,早期识别Stanford A型主动脉夹层手术患者术后低氧血症发生的危险因素,并及时采取有效的预防措施,对改善此类患者的预后具有重要意义.Aortic dssction type A is one of the most important critical discases in cardiac surgery and the patients with the disease usually have an extremely high mortality and morbidity if no ffeetive measurements are implemented.At present,emergent surgery is considered to be an efective treatment,but hindered by the high incidence of postoperative complications.Among them,postoperative hypoxia constitutes a main threat to the patients undergone the surgical procedure because of the increased hospital stays,economical burden and total hospital mortality.Therefore.carly identification and timely clinical intervention to the risk factors related to postoperative hypoxemia in the patients with aortic disction Stanford type A are of great significance to prevent the occurence of postoperative hypoxemia and improve the prognosis of patients.

关 键 词：主动脉夹层 低氧血症 危险因素 

分 类 号：R654.2[医药卫生—外科学]