急性主动脉夹层动脉瘤行全弓置换术后并发症的处理

2011 年 2 月收治的 100 例急性主动脉夹层动脉瘤患者 ，随机分为对照组和观察组 ，各 50 例，对照组对患者仅采取
常规治疗；观察组对患者采取全弓置换术进行治疗，并对并发症进行有效防治；治疗工作的重点是及时缓解患者的
心 理 压 力 ， 预 防 及 减 少 并 发 症 。 结 果 治 疗 后 ， 观 察 组 患 者 的 汉 密 尔 顿 抑 郁 量 表 （HAMD） 和 汉 密 顿 焦 虑 量 表
WU Hongjiang1 LI Jun1▲ WANG Huishan1 CHEN Yan1 FANG Minhua1 Zhang Hongjia2 1.Department of Cardiovascular Surgery, General Hospital of Shenyang Military Region, Liaoning Province, Shenyang 110840, China; 2.Department of Cardiac Surgery, Beijing Anzhen Hospital Affiliated to Capital Medical University, Beijing 100029, China [Abstract] Objective To discuss the intervention on the complications in the patient with acute aortic dissection. Methods 100 cases with fracture of neck of femur in our hospital from February 2009 to February 2011 were chose, they were ran domly divided into the control group and the observation group, the control group was given the conventional methods, while the observation group was given the total aortic arch replacement, and complications were prevented. Highlight of the work was to relief the mental pressure, to prevent and reduce the occurrence of complications. Results After the treatment, HAMD scores, HAMA scores of observation group were significantly lower than those of the control group, there were sta tistically significant differences between the two groups (P < 0.05). The patients in the observation group of postoperative bleeding occurred in 2%, acute renal injury incidence was 4%, the incidence of hypertension in 10%, nervous system dys function occurring rate was 6%, the mortality rate was 8%, significantly lower than in the control group, the difference was statistically significant (P < 0.05). Conclusion Treat the patients with acute aortic dissection in total arch replacement postoper ative complications effectivly can significantly improve the treatment quality, and it should be widely applied in clinical. [Key words] Acute aortic dissection; Total aortic arch replacement; Complications
2012 年 11 月第 9 卷第 33 期
· 临床研究 ·
急性主动脉夹层动脉瘤行全弓置换术后 并发症的处理
吴洪江 1 李 俊 1▲ 王辉山 1 陈 燕 1 方敏华 1 张宏家 2 1.沈阳军区总医院心血管外科，辽宁沈阳 110840；2.首都医科大学附属北京安贞医院心脏外科，北京 100029
[摘要] 目的 探讨急性主动脉夹层动脉瘤行全弓置换术后并发症的处理。 方法 选择沈阳军区总医院 2009 年 2 月~
（HAMA）值明显低于对照组，差异有统计意义 （P < 0.05）；观察组患者术后出血的发生率为 2%，急性肾功能损伤的
发生率为 4%，高血压的发生率为 10%，神经系统功能障碍的发生率为 6%，死亡率为 8%，均明显低于对照组 ，差异
均有统计学意义（均 P < 0.05）。 结论 对急性主动脉夹层动脉瘤行全弓置换术后并发症进行有效治疗，可以明显提
高治疗质量，值得推广应用。
[关键词] 急性主动脉夹层动脉瘤；全弓置换；并发症
[中图分类号] R543.1
[文献标识码] A
[文章编号] 1673-7210来自百度文库2012）11（c）-0059-03
Measures of complications in patients with acuteaorticdissection