急性主动脉综合征的处理：从初步表现到明确治疗。
Management of acute aortic syndromes from initial presentation to definitive treatment.
机构信息
Division of Cardiac Surgery, Bluhm Cardiovascular Institute, Northwestern Medicine, Chicago, IL, United States of America.
Division of Cardiac Surgery, Bluhm Cardiovascular Institute, Northwestern Medicine, Chicago, IL, United States of America.
出版信息
Am J Emerg Med. 2022 Jan;51:108-113. doi: 10.1016/j.ajem.2021.10.016. Epub 2021 Oct 21.
BACKGROUND
Acute aortic syndromes comprise a spectrum of diseases including aortic dissection, intramural hematoma, and penetrating atherosclerotic ulcers. Early diagnosis, rapid intervention, and multidisciplinary team care are vital to efficiently manage time-sensitive aortic emergencies, mobilize appropriate resources, and optimize clinical outcomes.
OBJECTIVE
This comprehensive review outlines the multidisciplinary team approach from initial presentation to definitive interventional treatment and post-operative care.
DISCUSSION
Acute aortic syndromes can be life-threatening and require prompt diagnosis and aggressive initiation of blood pressure and pain control to prevent subsequent complications. Early time to diagnosis and intervention are associated with improved outcomes.
CONCLUSIONS
A multidisciplinary team can help promptly diagnose and manage aortic syndromes.
背景
急性主动脉综合征包括一系列疾病，包括主动脉夹层、壁内血肿和穿透性动脉粥样硬化性溃疡。早期诊断、快速干预和多学科团队治疗对于有效地管理时间敏感的主动脉急症、调动适当的资源和优化临床结果至关重要。
目的
本综述概述了从初始表现到明确介入治疗和术后护理的多学科团队方法。
讨论
急性主动脉综合征可能危及生命，需要迅速诊断和积极控制血压和疼痛，以预防后续并发症。早期诊断和干预与改善预后相关。
结论
多学科团队有助于快速诊断和管理主动脉综合征。
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