• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

急性 A 型主动脉夹层与晚期妊娠:我们该怎么办?

Acute Type A Aortic Dissection and Late Pregnancy: What Should We Do?

机构信息

Institute of Cardiovascular Surgery, Xinqiao Hospital, Army Medical University, Chongqing, China.

出版信息

Braz J Cardiovasc Surg. 2023 Feb 10;38(1):183-190. doi: 10.21470/1678-9741-2020-0670.

DOI:10.21470/1678-9741-2020-0670
PMID:35675490
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10010727/
Abstract

INTRODUCTION

Acute type A aortic dissection (AAAD) in late pregnancy is a rare but severe disease. Lack of clinical experience is the main cause of high mortality. This study tries to investigate the multidisciplinary therapeutic strategy for these patients.

CASE PRESENTATION

We reported three patients with AAAD in late pregnancy. Sudden chest pain was the main clinical symptom before operation. All three patients and their newborns survived through multidisciplinary approach in diagnosis and treatment. No serious complications occurred during the mid-term follow-up.

CONCLUSION

Multidisciplinary diagnosis and treatment strategy play a crucial role in saving the lives of pregnant women with AAAD.

摘要

简介

妊娠晚期急性 A 型主动脉夹层(AAAD)是一种罕见但严重的疾病。缺乏临床经验是导致高死亡率的主要原因。本研究旨在探讨多学科治疗策略对这些患者的疗效。

病例介绍

我们报告了 3 例妊娠晚期 AAAD 患者。手术前的主要临床症状是突发胸痛。通过多学科的诊断和治疗方法,3 名患者及其新生儿均存活下来。在中期随访期间,没有发生严重并发症。

结论

多学科诊断和治疗策略对挽救妊娠晚期 AAAD 患者的生命至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3f8/10010727/833cbe962693/rbccv-38-01-0183-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3f8/10010727/3d3340e03f67/rbccv-38-01-0183-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3f8/10010727/6c007ed6db67/rbccv-38-01-0183-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3f8/10010727/833cbe962693/rbccv-38-01-0183-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3f8/10010727/3d3340e03f67/rbccv-38-01-0183-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3f8/10010727/6c007ed6db67/rbccv-38-01-0183-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3f8/10010727/833cbe962693/rbccv-38-01-0183-g03.jpg

相似文献

1
Acute Type A Aortic Dissection and Late Pregnancy: What Should We Do?急性 A 型主动脉夹层与晚期妊娠:我们该怎么办?
Braz J Cardiovasc Surg. 2023 Feb 10;38(1):183-190. doi: 10.21470/1678-9741-2020-0670.
2
Does conservative surgical approach improve early and late outcome in patients with acute type A aortic dissection?保守手术方法能否改善急性A型主动脉夹层患者的早期和晚期预后?
Cardiovasc Surg. 2002 Feb;10(1):23-30. doi: 10.1016/s0967-2109(01)00107-7.
3
Type A chronic aortic dissection with obesity and preeclampsia.伴有肥胖症和先兆子痫的A型慢性主动脉夹层
Rev Esp Anestesiol Reanim. 2017 Dec;64(10):585-589. doi: 10.1016/j.redar.2017.03.015. Epub 2017 Jun 27.
4
Midterm results after endovascular treatment of acute, complicated type B aortic dissection: the Talent Thoracic Registry.急性、复杂型 B 型主动脉夹层血管内治疗的中期结果:Talent 胸主动脉登记研究。
J Thorac Cardiovasc Surg. 2013 Jan;145(1):159-65. doi: 10.1016/j.jtcvs.2011.10.093. Epub 2012 Feb 11.
5
Computed Tomography Scan Predicts Abdominal Interventions but Not Stroke after Surgery for Acute Type A Aortic Dissection.计算机断层扫描可预测急性A型主动脉夹层手术后的腹部干预措施,但不能预测中风。
Thorac Cardiovasc Surg. 2016 Mar;64(2):108-15. doi: 10.1055/s-0035-1548732. Epub 2015 Apr 13.
6
Acute Type A Aortic Dissection and Successful Surgical Repair in a Woman at 21 Weeks Gestational Pregnancy With Maternal and Fetal Survival: A Case Report.21周妊娠女性急性A型主动脉夹层及成功手术修复,母婴均存活:一例报告
J Cardiothorac Vasc Anesth. 2018 Jun;32(3):1487-1493. doi: 10.1053/j.jvca.2017.09.011. Epub 2017 Sep 14.
7
Surgical treatment for acute type A aortic dissection in pregnancy: a case of aortic root replacement just after Cesarean section.妊娠期急性A型主动脉夹层的外科治疗:1例剖宫产术后即刻行主动脉根部置换术的病例
Jpn Circ J. 2000 Sep;64(9):729-30. doi: 10.1253/jcj.64.729.
8
[Acute aortic dissection in pregnancy--risk of double death].[妊娠期急性主动脉夹层——双亡风险]
Lakartidningen. 2007;104(28-29):2087-8.
9
Acute ascending aortic dissection during pregnancy.妊娠期急性升主动脉夹层
Am J Crit Care. 2001 Nov;10(6):430-3.
10
Headache as the initial manifestation of acute aortic dissection type A.头痛作为急性A型主动脉夹层的初始表现。
Cephalalgia. 1998 Oct;18(8):583-4. doi: 10.1046/j.1468-2982.1998.1808583.x.

本文引用的文献

1
Impact of intrauterine balloon tamponade on emergency peripartum hysterectomy following vaginal delivery.宫腔球囊填塞对阴道分娩后急诊围产期子宫切除术的影响。
Eur J Obstet Gynecol Reprod Biol. 2021 Jan;256:125-129. doi: 10.1016/j.ejogrb.2020.10.064. Epub 2020 Nov 2.
2
Comparison of del Nido Cardioplegia and Blood Cardioplegia in Aortic Root Surgery.主动脉根部手术中德尔尼多停搏液与血液停搏液的比较
Heart Surg Forum. 2020 May 29;23(3):E376-E384. doi: 10.1532/hsf.2861.
3
Pregnancy and cardiovascular disease.妊娠与心血管疾病。
Nat Rev Cardiol. 2020 Nov;17(11):718-731. doi: 10.1038/s41569-020-0390-z. Epub 2020 Jun 9.
4
Pregnancy and cardiac interventions: What are the optimal management options?妊娠与心脏介入治疗:最佳管理方案有哪些?
J Card Surg. 2020 Jul;35(7):1589-1596. doi: 10.1111/jocs.14637. Epub 2020 Jun 2.
5
Comparison of outcomes of the use of Del Nido and St. Thomas cardioplegia in adult and paediatric cardiac surgery: a systematic review and meta-analysis.比较 Del Nido 和 St. Thomas 心脏停搏液在成人心血管手术和儿科心脏手术中应用效果的研究:系统评价和荟萃分析。
Perfusion. 2020 Nov;35(8):724-735. doi: 10.1177/0267659120919350. Epub 2020 May 18.
6
Cardiac operation under cardiopulmonary bypass during pregnancy.孕期体外循环下心脏手术。
J Cardiothorac Surg. 2020 May 13;15(1):92. doi: 10.1186/s13019-020-01136-9.
7
Does Saving Uterus Save Ovaries?保留子宫能保留卵巢吗?
J Obstet Gynaecol India. 2020 Apr;70(2):99-102. doi: 10.1007/s13224-020-01308-6. Epub 2020 Mar 18.
8
Surgery for Acute Type A Aortic Dissection in A Pregnant Woman At 28 Weeks' Gestation.一名孕28周孕妇的急性A型主动脉夹层手术
Braz J Cardiovasc Surg. 2019 Dec 1;34(5):627-629. doi: 10.21470/1678-9741-2018-0225.
9
Preventing childhood and lifelong disability: Maternal dietary supplementation for perinatal brain injury.预防儿童和终身残疾:围产期脑损伤的母体膳食补充。
Pharmacol Res. 2019 Jan;139:228-242. doi: 10.1016/j.phrs.2018.08.022. Epub 2018 Sep 15.
10
Circulating microRNAs as an emerging biomarker for acute aortic dissection diagnosis-comparing with prior biomarkers.循环微RNA作为急性主动脉夹层诊断的新兴生物标志物——与既往生物标志物的比较
J Thorac Dis. 2018 Mar;10(3):1186-1189. doi: 10.21037/jtd.2018.03.22.