CAJ | 학술논문

目的总结近年来我科DeBakeyⅢ型主动脉夹层腔内修复治疗的经验,重点探讨围术期发生的并发症及其预防与处理.方法回顾性分析自2009年1月至2011年1月的2年间我科完成49例DeBakeyⅢ型主动脉夹层腔内修复治疗患者的临床资料.结果无术后近期死亡、无截瘫.严重的并发症有昏迷2例(4.1％)、内漏2例(4.1％)、上肢缺血2例(4.1％).新发近端夹层1例.术后多数患者存在不同程度发热.结论腔内修复治疗能够降低夹层治疗的病死率,但严重并发症不容忽视.降低逆行性夹层、急性脑供血不足、内漏等并发症可以进一步改善患者的预后,提高生存质量.
목적 총결근년래아과DeBakeyⅢ형주동맥협층강내수복치료적경험,중점탐토위술기발생적병발증급기예방여처리.방법 회고성분석자2009년1월지2011년1월적2년간아과완성49례DeBakeyⅢ형주동맥협층강내수복치료환자적림상자료.결과 무술후근기사망、무절탄.엄중적병발증유혼미2례(4.1％)、내루2례(4.1％)、상지결혈2례(4.1％).신발근단협층1례.술후다수환자존재불동정도발열.결론 강내수복치료능구강저협층치료적병사솔,단엄중병발증불용홀시.강저역행성협층、급성뇌공혈불족、내루등병발증가이진일보개선환자적예후,제고생존질량.
Objective To summarize the experience in endovascular repair of De Bakey type Ⅲ aortic dissection in recent years and summarize the prevention and management of the related perioperative complications.Methods From January 2009 to January 2011,49 cases of endovascular repair for De Bakey type Ⅲ aortic dissection were performed under general anesthesia in our department.There were 45 male and 4 female.The follow-up was performed in the outpatient department or by telephone.Results There was no inhospital death and no paraplegia events.Severe complication included:coma,2 cases ( 4.1％ ) ; endoleak,2 cases (4.1％ ) ; upper limb ischemia,2 cases (4.1％ ).Recurrent proximal aortic dissection,1 case.Fever was occurred in most of those cases.Conclusion Endovascular repair of aortic dissection improves the outcome of aortic dissection patients.But more attention should be pay to prevent the severe complications,It will help to improve the prognosis and life quality by reducing the risk of retrograde dissection,acute brain ischemia and endoleak.