摘要
目的探讨急性stanford a型主动脉夹层的急诊外科治疗经验。方法对23例急性standford a型主动脉夹层患者,2例患者术前死亡,21例行手术治疗,升主动脉及全主动脉弓替换+象鼻支架植入术10例,Bentall+全弓替换+象鼻支架植入术9例,david+升弓部替换+象鼻支架植入术2例。全部行急诊手术,发病至手术平均时间为33小时(24~51小时)。结果 1例吻合口出血,再次开胸止血。2例术后意识障碍,给予对症治疗后恢复。死亡2例,死亡率9.5%(2/21)。其余患者恢复良好。结论 standford a型主动脉夹层患者发病急,病情危重,积极手术治疗是行之有效的措施。
Objective To examine the emergency surgical treatment of acute Stanford type A aortic dissection. Method In 23 patients with acute Standford type A aortic dissection,2 patients died before the operationand the rest of the 21 cases were treated by operation. Replacement of ascending aorta and total aortic arch as well as SET implantation technique were applied in 10 cases. Bentall operation,replacement of total aortic arch and SET implantation technique in 9 cases;David operation,replacement of total aortic arch and SET implantation in 2 cases. All the operation were performed on an emergency. The average time from onset to operation lasts for 33 hours (24~51 hours). Result Thoracotomy was applied for hemostasis in 1 cases. Disturbance of consciousness was observed in 2 cases after the operationand the patients recovered after treatment.While 2 patients died in hospital.The mortality rate was 9.5%(2/21).The other patients recovered well. Conclusion Active surgical interference is an effective treatment to Standford type A aortic dissection patients.
出处
《创伤与急诊电子杂志》
2013年第4期18-21,共4页
Journal of Trauma and Emergency(Electronic Version)
基金
国家级临床重点专科建设项目(心脏大血管外科2013)资助
