摘要
目的:探讨Stanford B型急性主动脉夹层(AAD)的临床特点及不同治疗方式对预后的影响。方法:回顾性分析947例Stanford B型主动脉夹层患者的临床资料,根据治疗方式分为非介入手术组(单纯药物治疗457例)和介入手术组(490例)。统计并比较2组院内死亡率。结果:947例患者中,男789例,平均年龄(55.9±12.6)岁,女158例,平均年龄(56.8±11.4)岁。住院死亡40例(4.22%);其中非介入手术组死亡39例;介入手术组死亡1例;非介入手术组院内病死率明显高于介入手术组(8.53%vs 0.20%,P<0.01)。结论:Stanford B型AAD患者病情急,进展快,死亡风险大,尽早确诊并行适宜的介入手术治疗可明显提高患者的生存率。
Objective:To investigate the clinical characteristics of Stanford type B acute aortic dissection(AAD)and the effect of different treatments on prognosis.Methods:The clinical data of 947 patients with Stanford B type aortic dissection were analyzed retrospectively.The patients were divided into two groups:non-interventional operation group(drug therapy only,457 cases)and interventional operation group(490 cases).The mortality rates of the two groups were compared.Results:A total of 947 patients were enrolled,including 789 males with an average age of 55.9±12.6 years and 158 females with the mean age of 56.8±11.4 years.There were 40 in-hospital deaths,and the total mortality rate was 4.22%.A total of 39 cases died in the non-interventional operation group with the mortality rate being 8.53%.One case died in the interventional operation group with the mortality rate being 0.20%.The in-hospital mortality rate in the non-interventional operation group was significantly higher than that in the interventional operation group(P<0.001).Conclusion:Patients with Stanford type B AAD are at high risk of death due to rapid progression and rapid onset.Early diagnosis and appropriate interventional operation can apparently improve the survival rate of patients.
作者
冯美干
万晓宁
覃雅婷
吕超
龚芳
郭小梅
FENG Mei-gan;WAN Xiao-ning;QIN Ya-ting;LV Chao;GONG Fang;GUO Xiao-mei(Department of Cardiology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Hubei Wuhan 430030,China)
出处
《内科急危重症杂志》
2023年第1期14-17,共4页
Journal of Critical Care In Internal Medicine
基金
国家自然科学基金资助项目(No:81873518)。
