摘要
尽管主动脉夹层(AD)在临床上不常见,但其发病凶险,许多患者死于院外或未明确诊断,约有1/3的患者表现为受累系统器官的症状。有些患者无发病体征,即使有体征,也是复杂多样的。临床上应高度警惕,以便对AD作出快速、准确的诊断。AD的治疗主要包括积极控制血压、外科手术。近年来,血管腔内治疗用于治疗AD已取得了大量理论和实践上的临床经验,其微创优势已被证实。但国外主动脉夹层发病率低,血管腔内治疗的近远期疗效仍需进一步研究评价。未来的发展主要体现在器材创新方面,使解剖复杂尤其是需要杂交技术完成的夹层得到更加合理的治疗。
Althougha ortic dissection was uncommon,its outcome was frequently fatal, and many patients with aortic dissection died before their visiting or prior to clear diagnosis. More than one-third of patients may have the symptom of involved organ and system. Some patients usually had no obvious sign,even if they had,the signs were always various. Keeping a high clinical index of suspicion was necessary to accurate and rapid diagnosis of aortic dissection. The therapy of aortic dissection mainly included controlling blood pressure and surgery. Recently, endovascular graft had been used for the treatment of aortic dissection in selected patients. In recent years, the treatment of endovascular graft exclusion of aortic dissection had been made a lot of clinical and practical experience, and its being minimally invasive advantages had been identified. Abroad, because of the low incidence of aortic dissection, short and long term effect of the treatment of endovascular graft exclusion made further study and evaluation. The future development of the treatment was focused on innovation in the equipment. It allowed the patients a more reasonable treatment.
出处
《中华全科医学》
2010年第1期90-92,共3页
Chinese Journal of General Practice
关键词
主动脉夹层
血管腔内治疗
支架
Arotic dissection
Endovascular graft exclusion
Stent-graft
作者简介
通讯作者：刘明伟，电子信箱：lmw2004210@163．com
