急性Stanford A型主动脉夹层术后低氧血症的研究进展  

Research progress of hypoxemia after acute Stanford Type A aortic dissection

作　　者：皮静虹 付欣桐 张娟 黄双凤 陈跃清 王艳红(综述) 陈文敏(审校) PI Jinghong;FU Xingtong;ZHANG Juan;HUANG Shuangfeng;CHEN Yueqing;WANG Yanhong;CHEN Wenmin(Department of cardiovascular surgery,Yunnan Research Institute of Cardiovascular Surgery/Kunming Yan'an Hospital,Kunming Yunnan 650051,China)

机构地区：[1]云南省心血管外科研究所/昆明市延安医院心脏大血管外科,云南昆明650051

出　　处：《云南医药》2025年第2期66-69,共4页Medicine and Pharmacy of Yunnan

基　　金：昆明市局级科研项目(2022-14-02-008)。

摘　　要：急性Stanford A型主动脉夹层动脉瘤具有起病急、发展迅速且临床表现复杂多样等特点,被视为心脏外科的急危重症,其死亡率非常之高,给患者的生命和生活质量带来了严重的影响。当前,急诊手术治疗已经成为提升这种疾病预后的首选方法。然而,由于手术难度高、时间长且需在深低温停循环下进行,所以术后出现低氧血症的几率相当高。持续的低氧血症可能影响病人的健康,包括通气障碍、心肌病变、肺脏病变、肝功能损害等,进而使术后机械通气时间及ICU住院时间延长,增加医疗费用,最终降低患者远期存活率。因此,尽早识别与预防这些病变,有效及时的术后处理和护理方案,可以减少术后并发症,缩短ICU的住院时间,改善患者预后。Acute Stanford type A aortic dissection aneurysm has the characteristics of rapid onset,rapid development and complex clinical manifestations.It is regarded as an emergency serious disease in cardiac surgery,with a very high mortality rate,which has a serious impact on the life and quality of life of patients.At present,emergency surgical treatment has become the preferred method to improve the prognosis of this disease.However,the risk of postoperative hypoxemia is quite high due to the difficulty and duration of the operation and the need for deep hypothermia and circulatory arrest.Persistent hypoxemia may affect the health of patients,including ventilation disorders,cardiomyopathy,lung lesions,liver function impairment,etc.,which may prolong the postoperative mechanical ventilation time and ICU stay,increase medical costs,and ultimately reduce the long-term survival rate of patients.Therefore,early identification and prevention of these lesions,effective and timely postoperative management and nursing programs can reduce postoperative complications,shorten the length of ICU stay,and improve the prognosis of patients.

关 键 词：急性A型主动脉夹层 低氧血症 预防和治疗 

分 类 号：R654.3[医药卫生—外科学]