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肠系膜动脉缺血在主动脉夹层 A 型中的表现:当前的处理策略。

Mesenteric Malperfusion Syndromes in Type A Aortic Dissection: Current Management Strategies.

机构信息

American University of Beirut Medical Center, Department of Surgery, Beirut, Lebanon.

Duke University School of Medicine, Durham, NC.

出版信息

J Cardiothorac Vasc Anesth. 2021 Dec;35(12):3711-3719. doi: 10.1053/j.jvca.2021.05.056. Epub 2021 Jun 5.

Abstract

Acute type A aortic dissection is a surgical emergency associated with high mortality and morbidity. When complicated with mesenteric malperfusion, its management carries a very high mortality. Many innovations in the field of vascular and cardiothoracic surgery in the last two decades have been tried in the continuous efforts to improve on the surgical outcomes. Although some reports have documented better mortality rates with reperfusion-first strategies, there is still room for improvement in the absence of a general consensus on its management.

摘要

急性 A 型主动脉夹层是一种与高死亡率和高发病率相关的外科急症。当合并肠系膜灌注不良时,其治疗的死亡率非常高。在过去二十年中,血管和心胸外科领域的许多创新都在不断努力以改善手术结果。尽管一些报告记录了再灌注优先策略的死亡率有所降低,但由于缺乏对其管理的普遍共识,仍有改进的空间。

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