急性Stanford B型主动脉夹层伴发氧合障碍的研究进展  

Research progress of acute Stanford B type aortic dissection with oxygenation impairment

作　　者：罗宇东[1] 朱杰昌[1] 戴向晨[1] Luo Yudong;Zhu Jiechang;Dai Xiangchen(Department of Vascular Surgery,Tianjin Medical University General Hospital,Tianjin 300052,China)

机构地区：[1]天津医科大学总医院血管外科,天津300052

出　　处：《血管与腔内血管外科杂志》2020年第6期523-527,共5页Journal of Vascular and Endovascular Surgery

基　　金：天津市自然科学基金青年项目(19JCQNJC09900)。

摘　　要：氧合障碍(OI)常发生在急性复杂性Stanford B型主动脉夹层或急性非复杂性Stanford B型主动脉夹层保守治疗期间,并且需要机械通气来维持呼吸功能。目前针对OI的发生机制尚不清楚,具体的治疗时机及方法也处于临床探索阶段,因此本文就OI的定义和预测指标、急性Stanford B型主动脉夹层伴发OI的发病机制及治疗现状进行综述,以期日后为临床治疗提供依据。Oxygenation impairment(OI)often occurs during the conservative treatment of acute complex Stanford B type aortic dissection or acute uncomplicated Stanford B type aortic dissection,and requires mechanical ventilation to maintain respiratory function.At present,the pathogenesis of OI is still unclear,and the specific treatment opportunity and method are also in the clinical exploration stage.Therefore,this paper reviews the definition and predictive indicators of OI,the pathogenesis and treatment status of acute Stanford B type aortic dissection with OI,in order to provide the basis for clinical treatment in the future.

关 键 词：主动脉夹层 氧合障碍 急性肺损伤 

分 类 号：R543[医药卫生—心血管疾病]