急性StanfordA型主动脉夹层患者术后机械通气时间延长危险因素的研究进展  

Research Progress of Risk Factors for Prolonged Postoperative Mechanical Ventilation Time in Patients with Acute Stanford Type A Aortic Dissection

作　　者：魏展华 蔡忠香[2] 任宗力[3] 蔡馨[3] 周佳莉[3] 冷慧君 郑瑶 WEI Zhanhua;CAI Zhongxiang;REN Zongli;CAI Xin;ZHOU Jiali;LENG Huijun;ZHENG Yao(Yangtze University Health Science Center,Jingzhou 434023,China;Nursing Department,Renmin Hospital of Wuhan University,Wuhan 430060,China;Department of Cardiovascular Surgery,Renmin Hospital of Wuhan University,Wuhan 430060,China)

机构地区：[1]长江大学医学部,湖北省荆州市434023 [2]武汉大学人民医院护理部,湖北省武汉市430060 [3]武汉大学人民医院心外科,湖北省武汉市430060

出　　处：《实用心脑肺血管病杂志》2024年第9期16-20,共5页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

基　　金：国家自然科学基金资助项目(82100423)。

摘　　要：急性Stanford A型主动脉夹层是心脏大血管外科最为常见的急危重症之一,具有起病急骤、发病迅速、并发症多等特点。部分急性Stanford A型主动脉夹层患者术后短期内难以拔除气管插管,这会严重影响预后。本文回顾了急性Stanford A型主动脉夹层患者术后机械通气时间延长的定义和相关机制,分析了急性Stanford A型主动脉夹层患者术后机械通气时间延长的相关危险因素,旨在帮助医护工作者早期识别术后机械通气时间延长高风险的急性StanfordA型主动脉夹层患者,从而制定有效干预措施,改善患者预后。Stanford type A aortic dissection is one of the most common emergencies in cardiac macrovascular surgery,which is characterized by acute onset,rapid morbidity and many complications.Some Stanford type A aortic dissection patients have difficulty in removing the endotracheal tube in the short term after surgery,which seriously affects the prognosis.This article reviews the definition and related mechanisms of prolonged postoperative mechanical ventilation time in patients with Stanford type A aortic dissection,analyzes the related risk factors of prolonged postoperative mechanical ventilation time in patients with Stanford type A aortic dissection,with the aim of helping healthcare workers to identify the Stanford type A aortic dissection patients with high risk of prolonged postoperative mechanical ventilation time at an early stage,and then formulate effective interventions and improve patients'prognosis.

关 键 词：主动脉疾病 主动脉夹层 呼吸 人工 危险因素 综述 

分 类 号：R543.1[医药卫生—心血管疾病]