妊娠期腹主动脉瘤破裂的处置  

Management of ruptured abdominal aortic aneurysm during pregnancy

作　　者：印贤琴 陈敦金[1,2] YIN Xian-qin;CHEN Dun-jin(Department of Obstetrics,the Third Affiliated Hospital of Guangzhou Medical University,Guangzhou 510150,China;Guangdong Provincial Key Laboratory of Major Obstetrical Diseases,Guangzhou 510150,China)

机构地区：[1]广州医科大学附属第三医院产科,广东广州510150 [2]广东省产科重大疾病重点实验室,广东广州510150

出　　处：《中国实用妇科与产科杂志》2023年第4期411-414,共4页Chinese Journal of Practical Gynecology and Obstetrics

基　　金：国家重点研发计划(2022YFC2704500)。

摘　　要：腹主动脉瘤(abdominal aortic aneurysm,AAA)是指由于血管壁中层结构损害造成的腹主动脉管壁永久性、局限性的异常扩张,腹主动脉瘤破裂(ruptured abdominal aortic aneurysm,RAAA)是其最为灾难性的预后,即使积极救治仍有较高的病死率。妊娠期的血液循环和激素水平变化导致血管壁负荷及损伤加重,一定程度上加速了RAAA的进程;处置时需兼顾母体和胎儿的双重因素,因此面临更大的难度和挑战,多学科团队的精密合作是救治成功的重要保障。Abdominal aortic aneurysm(AAA)is permanent and localized abnormal expansion of the abdominal aorta wall caused by the damage of the middle vascular wall structure.Ruptured abdominal aortic aneurysm(RAAA)is the most catastrophic prognosis,with a high fatality rate even after active treatment.The changes in blood circulation and hormone levels during pregnancy lead to increased load and damage to vascular wall,which accelerates the progression of RAAA to a certain extent.We have to confront greater difficulties and challenges because the treatment needs to take into account the dual factors of pregnant woman and the fetus.The precise cooperation of multidisciplinary teams is an important guarantee for the success of treatment.

关 键 词：腹主动脉瘤破裂 妊娠 治疗 

分 类 号：R714.25[医药卫生—妇产科学]