[1]周 阎,向道康.DeBakeyⅠ型主动脉夹层的诊疗现状[J].医学信息,2020,33(06):47-49.[doi:10.3969/j.issn.1006-1959.2020.06.014]
　ZHOU Yan,XIANG Dao-kang.Status of Diagnosis and Treatment of DeBakey Ⅰ Aortic Dissection[J].Medical Information,2020,33(06):47-49.[doi:10.3969/j.issn.1006-1959.2020.06.014]
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DeBakeyⅠ型主动脉夹层的诊疗现状()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年06期
页码:
47-49
栏目:
综述
出版日期:
2020-03-15

文章信息/Info

Title:
Status of Diagnosis and Treatment of DeBakey Ⅰ Aortic Dissection
文章编号:
1006-1959（2020）06-0047-03
作者:
周 阎; 向道康
（贵州省人民医院心外科，贵州 贵阳 550002）
Author(s):
ZHOU Yan; XIANG Dao-kang
(Department of Cardiovascular Surgery,Guizhou Provincial People’s Hospital,Guiyang 550002,Guizhou,China)
关键词:
DeBakeyⅠ型; 主动脉夹层; 腔内支架; 孙氏手术
Keywords:
DeBakey type Ⅰ; Aortic dissection; Endoluminal stent; Sun’s surgery
分类号:
R654.3
DOI:
10.3969/j.issn.1006-1959.2020.06.014
文献标志码:
A
摘要:
DeBakeyⅠ型主动脉夹层是心血管疾病中的急危重症，大多数患者数小时内即可能发生猝死，因此早期诊断与治疗对于改善患者预后具有重要意义。目前可通过全主动脉CTA、DSA进行诊断，治疗方法为手术治疗。为避免手术过程中夹层破裂猝死，在传统孙氏手术治疗的同时逐渐出现一站式的杂交手术，其手术方法逐渐多样化，既有效的避免了术中深低温停循环的操作，又使手术时间明显加快，有效降低了术后并发症发生几率。本文就主动脉夹层的分型、临床表现、影像学价值及手术治疗作一综述。
Abstract:
DeBakey Ⅰ aortic dissection is an acute and critical disease in cardiovascular disease and most patients may have sudden death within a few hours. Therefore, early diagnosis and treatment are of great significance for improving the prognosis of patients. At present, it can be diagnosed by whole aortic CTA and DSA. The main method is surgery. In order to avoid the sudden death of dissection rupture during the operation, One-stop hybrid surgery gradually appeared while traditional Sun’s surgery treatment, its surgical methods are gradually diversified, that is, it effectively avoids the operation of deep hypothermia and circulatory stopping during the operation, and significantly speeds up the operation time, which effectively reduces the incidence of postoperative complications. This article reviews the classification, clinical manifestations, imaging value, and surgical treatment of aortic dissection.

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更新日期/Last Update: 2020-03-15