急性Stanford A型主动脉夹层合并器官灌注不良的研究进展  

Advances in acute Stanford type A aortic dissection with organ malperfusion

作　　者：张博文 顿耀军 刘雁翔 高浩昱 任杰 王露辰 周桑榆 谢明鑫 孙晓刚 ZHANG Bowen;DUN Yaojun;LIU Yanxiang;GAO Haoyu;REN Jie;WANG Luchen;ZHOU Sangyu;XIE Mingxin;SUN Xiaogang(Vascular Surgery Center,Fuwai Hospital,National Center for Cardiovascular Diseases,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing,100037,P.R.China)

机构地区：[1]中国医学科学院、北京协和医学院、国家心血管病中心、阜外医院血管外科中心,北京100037

出　　处：《中国胸心血管外科临床杂志》2024年第8期1235-1241,共7页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

基　　金：北京协和医学院中央高校基本科研业务费(3332023131)。

摘　　要：急性Stanford A型主动脉夹层治疗一直以来极具挑战性,器官灌注不良综合征是急性主动脉夹层常见的严重并发症,可导致患者脏器缺血坏死引起内环境紊乱,提高手术死亡率,并且影响患者预后。近些年来,各国学者对主动脉夹层合并器官灌注不良做了许多研究工作,探索了发生机制,提出了新的分型,创新了治疗方案,但是各个中心对其处理策略仍缺乏一致性意见。因此,本文主要就急性Stanford A型主动脉夹层合并器官灌注不良的发生机制、分型、诊治策略和预后方面的相关进展进行综述。The treatment of acute Stanford type A aortic dissection has always been extremely challenging.Organ malperfusion syndrome is a common severe complication of acute aortic dissection,which can cause organ ischemia and internal environment disorder.Malperfusion increases early mortality,and impacts the long-term prognosis.In recent years,many scholars have done some studies on aortic dissection complicated with malperfusion.They explored the pathogenesis,proposed new classification,and innovated new treatment strategies.However,at present,the treatment strategies of acute Stanford type A aortic dissection complicated with organ malperfusion are different at different centers and consensus on its treatment is still lacking.Therefore,this review summarized the pathogenesis,classification,treatment strategy,and prognosis of acute Stanford type A aortic dissection complicated with malperfusion.

关 键 词：急性Stanford A型主动脉夹层 外科治疗 灌注不良 综述 

分 类 号：R543.1[医药卫生—心血管疾病]