索引超出了数组界限。 文章摘要
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[1]周炜 李白翎 刘洋 陶芸 徐志云.急性A型主动脉夹层术后早期的常见并发症及处理[J].国际心血管病杂志,2020,03:129-131.
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急性A型主动脉夹层术后早期的常见并发症及处理(PDF)

《国际心血管病杂志》[ISSN:1006-6977/CN:61-1281/TN]

期数:
2020年03期
页码:
129-131
栏目:
综述
出版日期:
2020-06-08

文章信息/Info

Title:
-
作者:
周炜 李白翎 刘洋 陶芸 徐志云
204333 上海,海军军医大学附属长海医院心血管外科
Author(s):
-
关键词:
急性A型主动脉夹层 外科手术 并发症
Keywords:
-
分类号:
-
DOI:
10.3969/j.issn.1673-6583.2020.03.001
文献标识码:
-
摘要:
急性A型主动脉夹层以发病快、病情进展快、并发症多、院内死亡率高为特点,外科手术治疗作为主要治疗方式之一,能显著降低患者院内死亡率,但术后早期发生相关并发症的风险较高,包括肾功能不全、呼吸功能不全、肝功能不全、低心排综合征以及神经系统问题等。该文介绍术后早期常见并发症的特点及处理方法。
Abstract:
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参考文献/References

[ 1 ] Westaby S, Saito S, Katsumata T. Acute type A dissection: conservative methods provide consistently low mortality[J]. Ann Thorac Surg, 2002, 73(3):707-713.
[ 2 ] Santini F, Montalbano G, Casali G, et al. Clinical presentation is the main predictor of in-hospital death for patients with acute type A aortic dissection admitted for surgical treatment: a 25 years experience[J]. Int J Cardiol, 2007, 115(3):305-311.
[ 3 ] Pagni S, Ganzel BL, Trivedi JR, et al. Early and midterm outcomes following surgery for acute type A aortic dissection[J]. J Card Surg, 2013, 28(5):543-549.
[ 4 ] Englberger L, Suri RM, Greason KL, et al. Deep hypothermic circulatory arrest is not a risk factor for acute kidney injury in thoracic aortic surgery[J]. J Thorac Cardiovasc Surg, 2011, 141(2):552-558.
[ 5 ] Arnaoutakis GJ, Bihorac A, Martin TD, et al. RIFLE criteria for acute kidney injury in aortic arch surgery[J]. J Thorac Cardiovasc Surg, 2007, 134(6):1554-1561.
[ 6 ] D’onofrio A, Cruz D, Bolgan I, et al. RIFLE criteria for cardiac surgery-associated acute kidney injury: risk factors and outcomes[J]. Congest Heart Fail, 2010, 16(Suppl 1):S32-S36.
[ 7 ] Sansone F, Morgante A, Ceresa F, et al. Prognostic implications of acute renal failure after surgery for type a acute aortic dissection[J]. Aorta(Stamford), 2015, 3(3):91-97.
[ 8 ] Wu HB, Ma WG, Zhao HL, et al. Risk factors for continuous renal replacement therapy after surgical repair of type A aortic dissection[J]. J Thorac Dis, 2017, 9(4):1126-1132.
[ 9 ] Wang J, Yu W, Zhai G, et al. Independent risk factors for postoperative AKI and the impact of the AKI on 30-day postoperative outcomes in patients with type A acute aortic dissection: an updated meta-analysis and meta-regression[J]. J Thorac Dis, 2018, 10(5):2590-2598.
[10] Zarbock A, Kellum JA, Schmidt C, et al. Effect of early vs delayed initiation of renal replacement therapy on mortality in critically ill patients with acute kidney injury the ELAIN randomized clinical trial[J]. JAMA, 2016, 315(20):2190-2199.
[11] Gaudry S, Hajage D, Schortgen F, et al. Initiation strategies for renal-replacement therapy in the intensive care unit[J]. N Engl J Med, 2016, 375(2):122-133.
[12] Yang XM, Tu GW, Gao J, et al. A comparison of preemptive versus standard renal replacement therapy for acute kidney injury after cardiac surgery[J]. J Surg Res, 2016, 204(1):205-212.
[13] Luo Z, Han F, Li Y, et al. Risk factors for noninvasive ventilation failure in patients with acute cariogenic pulmonary edema: a prospective,observational cohort study[J]. J Crit Care, 2017, 39(3):238-247.
[14] Wang Y, Xue S, Zhu H. Risk factors for postoperative hypoxemia in patients undergoing Stanford A aortic dissection surgery[J]. J Cardiothorac Surg, 2013, 8:118.
[15] 刘华, 王春生, 刘岚, 等.主动脉夹层动脉瘤术后低氧血症的危险因素[J].中华胸心血管外科杂志, 2009, 25(6):375-378.
[16] Liu N, Zhang W, Ma WG, et al. Risk factors for hypoxemia following surgical repair of acute type A aortic dissection[J]. Interact Cardiovasc Thorac Surg, 2017, 24(2):251-256.
[17] Nagashima M, Shin’oka T, Nollert G, et al. High-volume continuous hemofiltration during cardiopulmonary bypass attenuates pulmonary dysfunction in neonatal lambs after deep hypothermic circulatory arrest[J]. Circulation, 1998, 98(19 Suppl):Ⅱ378-Ⅱ384.
[18] De Santo LS, Romano G, Amarelli C, et al. Surgical repair of acute type A aortic dissection: continuous pulmonary perfusion during retrograde cerebral perfusion prevents lung injury in a pilot study[J]. J Thorac Cardiovasc Surg, 2003, 126(3):826-831.
[19] Araujo L, Dombrovskiy V, Kamran W, et al. The effect of preoperative liver dysfunction on cardiac surgery outcomes[J]. J Cardiothorac Surg, 2017, 12(1):73.
[20] Achouh PE, Madsen K, Miller CC, et al. Gastrointestinal complications after descending thoracic and thoracoabdominal aortic repairs: a 14-year experience[J]. J Vasc Surg, 2006, 44(3):442-446.
[21] 刘楠, 孙立忠, 常谦, 等. 主动脉夹层手术后肝功能不全死亡的相关危险因素分析[J].中华胸心血管外科杂志, 2011, 27(3):165-167.
[22] Zhou W, Wang G, Liu Y, et al. Outcome and risk factors of postoperative hepatic dysfunction in patients undergoing acute type A aortic dissection surgery[J]. J Thorac Dis, 2019, 11(8):3225-3233.
[23] 李茂琴, 李家琼, 史载祥, 等. 不同组合非生物型人工肝治疗费病毒性急性肝功能衰竭患者的临床研究[J].中华急诊医学杂志, 2014, 23(2):213-215.
[24] Pérez Vela JL, Jiménez Rivera JJ, Alcalá Llorente M, et al. Low cardiac output syndrome in the postoperative period of cardiac surgery. Profile, differences in clinical course and prognosis. The ESBAGA study[J]. Medicina Intensiva, 2018, 42(3):159-167.
[25] Lomivorotov VV, Efremov SM, Kirov MY, et al. Low-cardiac-output syndrome after cardiac surgery[J]. J Cardiothorac Vasc Anesth, 2017, 31(1):291-308.
[26] Nielsen DV, Hansen MK, Johnsen SP, et al. Health outcomes with and without use of inotropic therapy in cardiac surgery: results of a propensity score-matched analysis[J]. Anesthesiology, 2014, 120(5):1098-1108.
[27] Augoustides JG, Geirsson A, Szeto WY, et al. Observational study of mortality risk stratification by ischemic presentation in patients with acute type A aortic dissection: the Penn classification[J]. Nat Clin Pract Cardiovasc Med, 2009, 6(2):140-146.
[28] Estrera AL, Garami Z, Miller CC, et al. Cerebral monitoring with transcranial Doppler ultrasonography improves neurologic outcome during repairs of acute type A aortic dissection[J]. J Thorac Cardiovasc Surg, 2005, 129(2):277-285.
[29] Gaul C, Dietrich W, Friendrich I, et al. Neurological symptoms in type A aortic dissection[J]. Stroke, 2007, 38(2):292-297.
[30] Isselbacher EM, Bonaca MP, Di Eusanio M, et al. Recurrent aortic dissection: observations from the international registry of aortic dissection[J]. Circulation, 2016, 134(14):1013-1024.
[31] Hagl C, Khaladj N, Karck M, et al. Hypothermic circulatory arrest during ascending and aortic arch surgery:the theoretical impact of different cerebral perfusion techniques and other methods of cerebral protection[J]. Eur J Cardiothorac Surg, 2003, 24(3):371-378.
[32] Shirasaka T, Okada K, Kano H, et al. New indicator of postoperative delayed awakening after total aortic arch replacement[J]. Eur J Cardiothorac Surg, 2015, 47(1):101-105.

备注/Memo

备注/Memo:
通信作者:徐志云,E-mail:Zhiyun_Xu@hotmail.com
更新日期/Last Update: 2020-06-08