急性A型主动脉夹层合并灌注不良综合征的治疗研究进展  

Research progress of malperfusion syndrome in acute type A aortic dissection

作　　者：周敏[1] 杨德淑[1] Zhou Min;Yang Deshu(Department of Cardiothoracic Surgery,Chongqing Emergency Medical Center,Chongqing University Central Hospital,Chongqing University,Chongqing 400010,China)

机构地区：[1]重庆市急救医疗中心重庆市第四人民医院重庆大学附属中心医院心胸外科,重庆400014

出　　处：《中华胸心血管外科杂志》2022年第10期625-630,共6页Chinese Journal of Thoracic and Cardiovascular Surgery

摘　　要：急性A型主动脉夹层(AADA)病情危重且死亡率高,其最严重的并发症之一是灌注不良综合征。AADA合并灌注不良综合征几乎影响所有的血管床,包括:大脑、冠状动脉、内脏、及肢体分支血管等等,各个器官灌注不良的发生率和严重程度各不相同。临床上必须对灌注不良的做出及时诊断与处理。目前来说,对于AADA合并灌注不良综合征的临床管理策略尚未达到统一共识。本文总结了有关AADA合并灌注不良综合征的相关研究进展,为临床实践提供一定指导。Acute aortic dissection type A(AADA)has a critical condition and high mortality.One of the most severe complications is malperfusion syndrome.AADA with malperfusion syndrome affects almost all vascular beds,including the brain,coronary artery,viscera,limb branches,and so on.The incidence and severity of malperfusion vary from organ to organ.Clinically,malperfusion must be diagnosed and treated in time.At present,there is no consensus on the clinical management strategy of AADA complicated with malperfusion syndrome.In this review,we discussed the related research progress of AADA involved with malperfusion syndrome to provide some guidance for clinical practice.

关 键 词：血管床 灌注不良 器官灌注 分支血管 临床实践 冠状动脉 AAD 死亡率高 

分 类 号：R543.1[医药卫生—心血管疾病]