摘要
Stanford B型主动脉夹层(TBAD)是临床常见的主动脉疾病,指主动脉内层撕裂导致血液进入主动脉壁,造成主动脉壁各层分离,形成真假两腔的分离状态。TBAD通常发生于主动脉下行部分,并向下延伸至腹主动脉,其主要临床症状包括剧烈胸痛、背部疼痛、呼吸困难、休克等,治疗方法包括药物治疗、开放修复手术和血管腔内介入手术等。早期诊断和治疗对改善TBAD患者的预后至关重要,但目前对于TBAD的诊治方式尚存在一定的争议。
Stanford type B aortic dissection(TBAD)is a common aortic disease in clinic,which means that the tear of the inner layer of the aorta leads to the blood entering into the aortic wall,resulting in the separation of each layer of the aortic wall and the separation of true and false cavities.TBAD usually occurs in the descending part of the aorta and extends downward to the abdominal aorta.Its main clinical symptoms include severe chest pain,back pain,dyspnea,shock and so on.The treatment methods include drug therapy,open repair surgery and endovascular interventional surgery.Early diagnosis and treatment are very important to improve the prognosis of TBAD,but there is still some controversy about the diagnosis and treatment of TBAD.
作者
邓一航
许欢
王翔
Deng Yihang;Xu Huan;Wang Xiang(Department of Critical Care Medicine,Nanjing First Hospital,Nanjing Medical University,Nanjing 210006,Jiangsu,China)
出处
《血管与腔内血管外科杂志》
2024年第4期471-475,共5页
Journal of Vascular and Endovascular Surgery
基金
江苏省卫生健康发展研究中心面上项目(JSHD2022060)。
关键词
Stanford
B型主动脉夹层
临床特点
手术修复夹层
介入治疗
Stanford type B aortic dissection
clinical characteristic
surgical repair of dissection
interventional therapy
