摘要
【目的】总结升主动脉累及弓部夹层动脉瘤（DebakeyI型）的手术治疗经验，以期进一步提高治疗效果。【方法】对本院2006年6月至2012年6月，应用股动脉和（或）腋动脉插管，采取深低温停循环时单侧腋动脉灌注技术治疗62例DebakeyI型夹层动脉瘤的临床资料进行分析。【结果】62例中术后因脑部并发症死亡2例，腹部动脉瘤破裂死亡2例，多器官功能衰竭死亡1例，57例恢复良好。【结论】选择合适的手术时机和手术方式，术后及时应用床旁持续血液净化技术是提高I型升主动脉夹层动脉瘤手术疗效的关键。
[Objective]To summarize the experience of surgical treatment of ascending aorta involving aor tic arch aneurysm（Debakey I） in order to further improve the efficacy. [Methods] Clinical data of 62 patients with Debakey I aneurysm undergoing unilateral axillary artery perfusion while deep hypothermic circulatory arrest with femoral artery and/or axillary artery intubation from June 2006 to June 2012 in our hospital were analyzed. [Results] Among 62 patients, 2 patients died of brain complication, and 2 patients died of abdominal aneurysm ruptured, and one patient died of multiple organ failure, and 57 patients recovered well. [Conclusion] Optimal surgical opportunity and surgical procedures and prompt bedside continuous blood purifi- cation are the key to improve surgical outcome.
出处
《医学临床研究》
CAS
2013年第2期287-288,291,共3页
Journal of Clinical Research
