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妊娠及产褥期夹层动脉瘤

Dissecting aneurysm during pregnancy and the puerperium.

作者信息

Konishi Y, Tatsuta N, Kumada K, Minami K, Matsuda K, Yamasato A, Usui N, Muraguchi T, Hikasa Y, Okamoto E, Watanabe R

出版信息

Jpn Circ J. 1980 Sep;44(9):726-33. doi: 10.1253/jcj.44.726.

DOI:10.1253/jcj.44.726
PMID:6447812
Abstract

According to Schnitker, Mandel, Hirst and their associates, approximately half of the dissecting aneurysms in women under 40 years of age are associated with pregnancy. This significant relationship between dissecting aneurysm and pregnancy has been discussed by considering hemodynamic stress and also the hormonal changes of pregnancy. In this report, we describe five patients with dissecting aneurysm during pregnancy or the puerperium, review the literature and discuss the influence of pregnancy on the pathogenesis of this disease.

摘要

根据施尼特克、曼德尔、赫斯特及其同事的研究,40岁以下女性的夹层动脉瘤中约有一半与妊娠有关。通过考虑血流动力学压力以及妊娠期间的激素变化,对夹层动脉瘤与妊娠之间的这种重要关系进行了讨论。在本报告中,我们描述了五例妊娠或产褥期发生夹层动脉瘤的患者,回顾了相关文献,并讨论了妊娠对该疾病发病机制的影响。

相似文献

1
Dissecting aneurysm during pregnancy and the puerperium.妊娠及产褥期夹层动脉瘤
Jpn Circ J. 1980 Sep;44(9):726-33. doi: 10.1253/jcj.44.726.
2
[Dissecting aneurysms of the aorta and coronary arteries in pregnancy].
Pathologe. 1987 Jul;8(4):233-6.
3
[Diffuse aortic dilatation, dissecting aneurysm and pregnancy: echographic diagnosis].
Medicina (B Aires). 1992;52(3):275-6.
4
Pregnancy-related aortic aneurysm and dissection in patients with Marfan's syndrome: medical and surgical management during pregnancy and after delivery.马凡综合征患者妊娠相关的主动脉瘤和夹层:妊娠期间和分娩后的医疗及手术管理。
Medicina (Kaunas). 2011;47(11):604-6.
5
[Dissecting aneurysm--a rare but severe complication of pregnancy].
Z Geburtshilfe Perinatol. 1987 Mar-Apr;191(2):76-9.
6
Dissecting aortic aneurysm in pregnant women without Marfan disease.非马凡综合征孕妇的主动脉夹层动脉瘤
Surg Gynecol Obstet. 1988 Dec;167(6):463-5.
7
Postpartum dissecting aneurysm of coronary arteries in a patient with sarcoidosis.
South Med J. 1980 Jan;73(1):87-8. doi: 10.1097/00007611-198001000-00032.
8
[Pathological changes in the media of the aorta in routine autopsy material. A supplement to the study of the pathogenesis of dissecting aneurysms].[常规尸检材料中主动脉中膜的病理变化。夹层动脉瘤发病机制研究的补充]
Lijec Vjesn. 1983 Feb-Mar;105(2-3):70-4.
9
Dissecting intramural hematoma of the coronary artery in pregnancy and the puerperium.
Obstet Gynecol. 1972 Aug;40(2):202-10.
10
[Dissecting aneurysm of the aorta].
Kokyu To Junkan. 1990 Jun;38(6):517-24.

引用本文的文献

1
Cesarean section following idiopathic rupture of renal artery aneurysm leading to fetal dysfunction.因特发性肾动脉动脉瘤破裂导致胎儿功能障碍而行剖宫产术。
JA Clin Rep. 2019 Mar 6;5(1):17. doi: 10.1186/s40981-019-0237-y.
2
DISSECTING ANEURYSM OF AORTA: A Case Report.主动脉夹层动脉瘤:一例报告。
Med J Armed Forces India. 1996 Oct;52(4):266-268. doi: 10.1016/S0377-1237(17)30886-9. Epub 2017 Jun 26.
3
A case of cardiac tamponade due to an isolated abscess in the ascending aorta of a pregnant woman with a history of intravenous substance abuse.
一名有静脉药物滥用史的孕妇,因升主动脉孤立性脓肿导致心脏压塞的病例。
Forensic Sci Med Pathol. 2017 Jun;13(2):226-229. doi: 10.1007/s12024-017-9856-7. Epub 2017 Mar 17.
4
Aortic dissection accompanied by preeclampsia in a postpartum young woman.一名产后年轻女性发生主动脉夹层并伴有子痫前期。
Obstet Gynecol Sci. 2016 Sep;59(5):403-6. doi: 10.5468/ogs.2016.59.5.403. Epub 2016 Sep 13.
5
Anaesthesia for Caesarean Delivery in a Pregnant with Acute Type B Aortic Dissection.一名患有急性B型主动脉夹层的孕妇剖宫产的麻醉
Turk J Anaesthesiol Reanim. 2013 Oct;41(5):178-81. doi: 10.5152/TJAR.2013.27. Epub 2013 Apr 24.
6
Complicated postpartum type B aortic dissection and endovascular repair.复杂产后 B 型主动脉夹层及血管内修复术。
Obstet Gynecol. 2012 Feb;119(2 Pt 2):480-483. doi: 10.1097/AOG.0b013e3182390622.
7
Primary venous dissecting aneurysm arising during pregnancy: a case report and review of the literature.妊娠期原发性静脉夹层动脉瘤:一例病例报告及文献复习
J Clin Pathol. 2003 Aug;56(8):634-5. doi: 10.1136/jcp.56.8.634.