Bircks W
Schweiz Med Wochenschr. 1978 Nov 4;108(44):1686-95.
In the light of the literature and a critical analysis of the author's own results, guidelines for therapy of aortic dissection from the surgical viewpoint are recommended. In cases of dissection of the ascending aorta, surgery should be performed as soon as possible. Only in special cases without complications can surgery be delayed with pump team standby. In uncomplicated cases of dissection of the descending thoracic aorta, medical therapy appears to be the method of choice. Some life-threatening situations render surgery inevitable. Surgical treatment of dissection of the aortic arch is indicated only on an ultima ratio basis.
根据文献以及对作者自身研究结果的批判性分析，从外科手术角度推荐主动脉夹层治疗指南。对于升主动脉夹层病例，应尽快进行手术。只有在无并发症的特殊情况下，可在体外循环团队待命的情况下延迟手术。对于降主动脉夹层的非复杂性病例，药物治疗似乎是首选方法。一些危及生命的情况使得手术不可避免。主动脉弓夹层的手术治疗仅在万不得已的情况下才进行。
