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妊娠晚期B型主动脉夹层的成功管理。

Successful management of spontaneous aortic dissection type B in the third trimester of pregnancy.

作者信息

Simsek Y, Colak C, Yilmaz E, Celik E, Erdil N, Celik O

机构信息

Department of Obstetrics and Gynaecology, Inonu University, Malatya, Turkey.

出版信息

Cardiovasc J Afr. 2012 Nov 23;23(10):e7-9. doi: 10.5830/CVJA-2012-063.

Abstract

Acute aortic dissection is a life-threatening disease that requires immediate surgical intervention. Although aortic dissection is a rare condition during pregnancy, it is of high risk for both mother and foetus. Most cases of aortic dissection during pregnancy have certain risk factors, including Marfan syndrome and congenital heart diseases. In this study, we report on a case of acute aortic dissection developing spontaneously at 32 weeks of gestation. The patient delivered a baby through cesarean section, and medical management of the dissection was commenced. Both mother and neonate survived and recovered well.

摘要

急性主动脉夹层是一种危及生命的疾病,需要立即进行手术干预。虽然主动脉夹层在孕期是一种罕见病症,但对母亲和胎儿都有很高风险。孕期主动脉夹层的大多数病例都有某些危险因素,包括马凡综合征和先天性心脏病。在本研究中,我们报告一例妊娠32周时自发发生的急性主动脉夹层病例。患者通过剖宫产分娩一婴儿,并开始对夹层进行药物治疗。母亲和新生儿均存活且恢复良好。

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