中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
36期
108-109
,共2页
主动脉夹层%冬眠疗法%入院时间%预后
主動脈夾層%鼕眠療法%入院時間%預後
주동맥협층%동면요법%입원시간%예후
Aortic dissection%Hibernation therapy%Admission time%Prognosis
目的：探讨冬眠疗法对主动脉夹层的疗效及安全性。方法：选择确诊的主动脉夹层患者41例，在常规治疗基础上加冬眠疗法，降压目标为110/80 mm Hg左右。对比患者入院及出院时心脏彩超、心脏及大血管CT、心电图、血糖、血脂、肝功、血肌酐、血尿酸、心肌酶等。同时对全部患者进行随访、记录。监测指标包括死亡例数、致残例数、住院天数、入院时间等。结果：41例患者入院时经心脏彩超、心脏及大血管CT确诊，其中心电图异常39例、血糖增高22例，血脂异常32例，血尿酸增高14例，心肌酶增高3例。经过治疗，出院时经彩超及CT检查36例患者心脏及大血管结构基本正常，心电图异常31例、血糖增高12例，血脂异常18例，血尿酸增高11例。41例患者治愈出院32例、死亡5例、致残4例，死亡中4例为Ⅰ型，平均入院时间大于1 h，致残者皆为Ⅲ型。结论：冬眠疗法对主动脉夹层疗效好，及早诊治非常关键。其预后与发病类型密切相关。
目的：探討鼕眠療法對主動脈夾層的療效及安全性。方法：選擇確診的主動脈夾層患者41例，在常規治療基礎上加鼕眠療法，降壓目標為110/80 mm Hg左右。對比患者入院及齣院時心髒綵超、心髒及大血管CT、心電圖、血糖、血脂、肝功、血肌酐、血尿痠、心肌酶等。同時對全部患者進行隨訪、記錄。鑑測指標包括死亡例數、緻殘例數、住院天數、入院時間等。結果：41例患者入院時經心髒綵超、心髒及大血管CT確診，其中心電圖異常39例、血糖增高22例，血脂異常32例，血尿痠增高14例，心肌酶增高3例。經過治療，齣院時經綵超及CT檢查36例患者心髒及大血管結構基本正常，心電圖異常31例、血糖增高12例，血脂異常18例，血尿痠增高11例。41例患者治愈齣院32例、死亡5例、緻殘4例，死亡中4例為Ⅰ型，平均入院時間大于1 h，緻殘者皆為Ⅲ型。結論：鼕眠療法對主動脈夾層療效好，及早診治非常關鍵。其預後與髮病類型密切相關。
목적：탐토동면요법대주동맥협층적료효급안전성。방법：선택학진적주동맥협층환자41례，재상규치료기출상가동면요법，강압목표위110/80 mm Hg좌우。대비환자입원급출원시심장채초、심장급대혈관CT、심전도、혈당、혈지、간공、혈기항、혈뇨산、심기매등。동시대전부환자진행수방、기록。감측지표포괄사망례수、치잔례수、주원천수、입원시간등。결과：41례환자입원시경심장채초、심장급대혈관CT학진，기중심전도이상39례、혈당증고22례，혈지이상32례，혈뇨산증고14례，심기매증고3례。경과치료，출원시경채초급CT검사36례환자심장급대혈관결구기본정상，심전도이상31례、혈당증고12례，혈지이상18례，혈뇨산증고11례。41례환자치유출원32례、사망5례、치잔4례，사망중4례위Ⅰ형，평균입원시간대우1 h，치잔자개위Ⅲ형。결론：동면요법대주동맥협층료효호，급조진치비상관건。기예후여발병류형밀절상관。
Objective:To explore the hibernation therapy efficacy and safety of aortic dissection.Method:41 patients with aortic dissection were selected, on the basis of routine therapy plus hibernation therapy,antihypertensive target was about 110/80 mm Hg.Compared the patient admission and discharge heart colour to exceed,heart and great vessels computed tomography(CT),electrocardiogram(ECG),blood sugar,blood fat,liver function,serum creatinine,blood uric acid,myocardial enzyme,etc.Follow-up for all patients at the same time and Monitoring indicators included death cases,disability cases,hospitalization days,hospitalized time,etc.Result:In 41 patients who were admitted by echocardiography,cardiac and vascular CT diagnosis,including 39 cases with abnormal electrocardiogram,blood glucose increased in 22 cases,32 cases of abnormal blood lipid,blood uric acid increased in 14 cases,myocardial enzyme increased in 3 cases.After treatment,discharge by color Doppler ultrasound and CT scan in 36 cases of cardiac and vascular structure were normal,31 cases with abnormal electrocardiogram,blood glucose increased in 12 cases,18 cases of abnormal blood lipid,blood uric acid increased in 11 cases.In 41 patients 32 patients were cured,5 cases died,4 cases of disability,4 cases of death forⅠtype,average admission time was more than 1 hours,disabilitys wereⅢtype. Conclusion:Hibernation therapy of aortic dissection has good curative effect,early diagnosis and treatment is essential.Its prognosis is closely related to the onset of type.
