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中华重症医学电子杂志 ›› 2017, Vol. 03 ›› Issue (04) : 271 -274. doi: 10.3877/cma.j.issn.2096-1537.2017.04.008

所属专题: 文献

临床研究

Stanford B型主动脉夹层腹膜支架术后的程序化重症监护治疗
沈晔1, 张美齐1, 韩楠楠1, 陈环1, 方玲翠1, 蔡文伟1,()   
  1. 1. 310014 杭州,浙江省人民医院 杭州医学院附属人民医院急诊医学科
  • 收稿日期:2017-04-12 出版日期:2017-11-28
  • 通信作者: 蔡文伟

Protocolized management in intensive care unit for post-interventional Stanford B aortic dissection patients

Ye Shen1, Meiqi Zhang1, Nannan Han1, Huan Chen1, Lingcui Fang1, Wenwei Cai1,()   

  1. 1. Department of Emergency, Zhejiang Province People′s Hospital, People′s Hospital of Hangzhou Medical College, Hangzhou 310014, China
  • Received:2017-04-12 Published:2017-11-28
  • Corresponding author: Wenwei Cai
  • About author:
    Corresponding author: Cai Wenwei, Email:
引用本文:

沈晔, 张美齐, 韩楠楠, 陈环, 方玲翠, 蔡文伟. Stanford B型主动脉夹层腹膜支架术后的程序化重症监护治疗[J]. 中华重症医学电子杂志, 2017, 03(04): 271-274.

Ye Shen, Meiqi Zhang, Nannan Han, Huan Chen, Lingcui Fang, Wenwei Cai. Protocolized management in intensive care unit for post-interventional Stanford B aortic dissection patients[J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2017, 03(04): 271-274.

目的

探讨程序化重症监护策略对腹膜支架治疗Stanford B型主动脉夹层术后的缺血再灌注器官功能疗效的维护。

方法

回顾性分析2012年2月至2017年2月61例Stanford B型主动脉夹层的临床资料。61例患者均采用覆膜支架植入术。分别经过肺保护通气、循环管理、器官功能保护、抗感染等程序化重症监护治疗,评估术后呼吸、肾功能、及术后康复情况。

结果

2例患者死于多脏器衰竭,其余患者术后均成功拔除呼吸机,大部分已康复出院。

结论

Stanford B型主动脉夹层患者经有效的维护缺血再灌注器官及肺保护通气策略能有效提高治愈率。

Objective

To investigate the effect of protocolized management in intensive care unit for patients with Stanford type B aortic dissection (AD) undergoing thoracic endovascular aortic repair (TEVAR).

Methods

We retrospectively analyzed clinical data from February 2012 to February 2017. All 61 patients with Stanford type B AD patients undergoing TEVAR accepted the following care principles: lung protective ventilation, hemodynamic support, organ function protection and anti-infection therapy. Postoperative function of respiratory system and kidney, and rehabilitation were compared.

Results

Two patients died of multiple organ failure. The rest were successfully extubated and most of them were discharged after rehabilitation.

Conclusion

For post-interventional Stanford B aortic dissection patients, use of lung protective ventilation and prevention of ischemia-reperfusion injury improved the prognosis.

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