摘要
破裂性腹主动脉瘤(RAAA)是血管外科领域最凶险的疾病之一,也是腹主动脉瘤病人最严重并发症。RAAA不仅应该得到血管外科医生重视,更应该得到急诊科、护理部、麻醉科、影像科等多学科的重视。应建立以血管外科为中心、多科配合下的快速有效的诊疗流程,以最大程度降低RAAA病人的病死率。诊疗流程中从早期识别诊断、规范化术前处理措施,到合理地选择治疗策略、术中精细化处理,最终到术后并发症的预防与治疗,其中涉及到的每一环节都至关重要。如何提高RAAA病人的救治率,降低其病死率,不仅是血管外科医生应该考虑的问题,同时应获得医院层面上的支持。诊疗流程的制定和执行需要医生和医院层面共同的努力。
Ruptured abdominal aortic aneurysm(RAAA)is one of the most dangerous disease in vascular surgery,and also the most severe complications of AAA.Importance should not only be attached to RAAA by vascular surgeons,but also by multidisciplinary team including emergency,nursing,anesthesiology and radiology department.In order to greatly reduce the mortality of RAAA patients,fast and effective multidisciplinary treatment protocol should be established based on the core team of vascular surgery.Every part is extremely important including early recognition and diagnosis,standardized preoperative management,treatment strategy decision,accurate surgical procedure and prevention and management of postoperative complications.The topic of increasing cure rate and decreasing mortality should be concerned by the hospital in addition to the surgeons.The establishment and process of the protocol should also raise the joint effort of both roles.
作者
符伟国
原通
FU Wei-guo;YUAN Tong(Department of Vascular Surgery,Zhongshan Hospital,Fudan University,Shanghai 200032,China)
出处
《中国实用外科杂志》
CSCD
北大核心
2020年第12期1356-1359,共4页
Chinese Journal of Practical Surgery
基金
国家自然科学基金资助项目(No.81970395)
关键词
破裂性腹主动脉瘤
诊疗流程
腔内修复术
ruptured abdominal aortic aneurysm
diagnosis and treatment protocol
endovascular aneurysm repair
