改良“孙氏”手术治疗Stanford A型主动脉夹层动脉瘤探讨

发布时间：2019-02-20 18:05

【摘要】：目的:利用传统"孙氏"及改良"孙氏"手术治疗Stanford A型主动脉夹层动脉瘤,并进行比较。方法:2010年4月—2015年10月,采用传统"孙氏"治疗Stanford A型主动脉夹层动脉瘤患者27例,改良"孙氏"手术治疗Stanford A型主动脉夹层动脉瘤患者32例。改良"孙氏"手术组患者均行右侧腋动脉插管,其中10例患者同时行右股动脉插管。所有患者均行左锁骨下动脉左颈总动脉端侧吻合,体温降至25℃停循环。结果:改良"孙氏"手术组的手术时间、体外循环时间、深低温停循环时间、术后出血量、术后入住ICU时间、出院时间,均较传统"孙氏"手术组明显减少。结论:改良"孙氏"手术治疗Stanford A型主动脉夹层动脉瘤效果确切,简化了术式,值得进一步推广研究。
[Abstract]:Objective: to treat Stanford type A aortic dissection aneurysm by traditional Sun's operation and modified Sun's operation. Methods: from April 2010 to October 2015, 27 cases of Stanford A aortic dissection aneurysm were treated with traditional "Sun's" method, and 32 cases of Stanford A type aortic dissection aneurysm were treated with modified "Sun's" operation. All patients in the modified Sun's operation group underwent right axillary artery catheterization, and 10 patients underwent right femoral artery catheterization at the same time. All patients underwent left subclavian artery end-to-side anastomosis of left common carotid artery, and their body temperature dropped to 25 鈩，

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