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131例主动脉病变的治疗体会 预览 被引量:2

Surgical therapy for aortic disease: a single-center analysis of 131 patients
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摘要 目的总结131例各类主动脉病变的治疗经验。方法回顾性分析我院2004年6月至2013年5月予以不同治疗方法的131例各类主动脉疾病患者的临床资料。结果1例行升主动脉置换+半弓置换的患者因出现难以控制的大出血于术中死亡,4例术后住院期间死亡,死亡原因分别为术后多器官功能衰竭及纵膈感染(1例);126例患者顺利出院。结论主动脉疾病复杂多样,应根据患者年龄,病挛情况,各器官功能状态等进行个体化治疗。 Objective To summarize the experience of surgical therapy for aortic disease. Methods 131 cases of aortic dis- ease were collected and studied between June 2004 and May 2013. Results One case operated with aortic replacement and hemi- arch replacement died iutraoperatively because of uncontrellable bleeding;four cases died postoperatively in hospital for MODS (three cases) and mediastinal infection (one case) , respectively. Other patients were all discharged safely. Conclusion Surgical treatment for ascending aortic disease should be individualized to achieve a relatively satisfied outcome, as the disease varies a- mong patients in age, complications, organ function, etc..
作者 龙翔 吴永兵 张小强 朱书强 董啸 唐燕华 杨崛圣 周建良 杨威 徐建军 LONG Xiang, WU Yong bing,ZHANG Xioo qiang,et al. Department of Cardiac Surgery,Second Affiliated Hospital of Nanchang Uaiversity,Nanchang 330006, Chinca
出处 《江西医药》 CAS 2013年第9期759-763,共5页 Jiangxi Medical Journal
基金 联合国儿童基金会项目(YY106/61)
关键词 主动脉夹层 升主动脉瘤 支架 腔内隔绝术 Aortic dissection Ascending aortic aneurysm Stents Endovascular graft exclusion
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