急性Stanford A型主动脉夹层术后神经功能监测的研究进展  

Research progress on neurological function monitoring after acute stanford type A aortic dissection

作　　者：思艺 李俊杰 段维勋 王倩梅 王东旭 丁伟 冯传杰 Si Yi;Li Junjie;Duan Weixun;Wang Qianmei;Wang Dongxu;Ding Wei;Feng Chuanjie(Department of Emergency,Xijing Hospital,Air Force Medical University,Shaanxi Xi'an 710032,China;Department of Emergency,Affiliated Hospital of Yan'an University,Yan'an 716099,China)

机构地区：[1]空军军医大学附属第一医院急诊科,西安710032 [2]空军军医大学附属第一医院心外科,西安710032 [3]延安大学第一附属医院急诊科,延安716099

出　　处：《中国体外循环杂志》2022年第6期377-382,共6页Chinese Journal of Extracorporeal Circulation

基　　金：国家自然科学基金资助项目(82070503);陕西省重点研发计划(2021SF-014)。

摘　　要：急性Stanford A型主动脉夹层是血管外科的急重症,全主动脉弓置换术是挽救患者生命的首选方式,随着研究的不断深入,人们逐渐意识到术后神经功能损伤的并发症是引起术后预后不良的主要因素,研究发现神经功能监测、影像学检查和生物标志物有望对主动脉夹层患者的神经功能预后及干预提供帮助,现结合临床及相关基础研究对这三方面做简要综述,以期找到更合适的监测指标及治疗方案。Acute stanford type A aortic dissection is an acute and severe disease in vascular surgery. Total aortic arch replacement is the first choice to save patients’ lives. With the deepening of research, people gradually realize that the complications of postoperative neurological injury are the main factors causing poor postoperative prognosis. It is found that neurological monitoring, imaging examination and biomarkers are expected to provide help for the prognosis and intervention of neurological function in patients with aortic dissection. This paper briefly summarizes these three aspects in combination with clinical and relevant basic research, aiming to find more appropriate monitoring indicators and treatment schemes.

关 键 词：主动脉夹层 神经功能 神经功能监测 影像学检查 生物标志物 心脏手术 脑保护 

分 类 号：R654.2[医药卫生—外科学]