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胸腹主动脉瘤的手术方法及治疗要点 被引量：1

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摘要 胸腹主动脉瘤（thoracoabdominalaorticaneurysm，TAA）是指动脉瘤同时累及胸腔段和腹腔段主动脉或侵犯到内脏动脉的腹主动脉瘤，临床上多采用Crawford分型，按动脉瘤的波及范围分为4型，由于病变范围广，病情进展快，加上病理部位特殊，给外科治疗带来许多困难。术中大出血、休克、心搏骤停和多脏器功能衰竭是常见的致死原因；截瘫和肾功能衰竭又是灾难性手术并发症，迄今仍然是一种挑战性手术。目前报道胸腹主动脉瘤的致死率为20％～34％。
作者 戈小虎
机构地区 新疆维吾尔自治区人民医院血管外科
出处 《临床外科杂志》 2010年第5期297-298,共2页 Journal of Clinical Surgery
关键词 胸腹主动脉瘤 治疗
分类号 R654.4 [医药卫生—外科学]
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参考文献6

  • 1Coselli JS,Conklin LD,LeMaire SA.Thoracoabdominal aortic aneurysm repair:review and update of current strategies[J].Ann Thorac Surg,2002,74(5):S1881-S1884;discussion S1892-S1898.
  • 2Derrow AE,Seeger JM,Dame DA,et al.The outcome in the United States after thoracoabdominal aortic aneurysm repair,renal artery bypass,and mesentericre vascularization[J].J Vasc Surg,2001,34(1):54-61.
  • 3于存涛,孙立忠,常谦,朱俊明,刘永民.应用四分支血管分段停循环下全胸腹主动脉替换术[J].中华医学杂志,2006,86(3):167-169. 被引量：28
  • 4Sayed S,Thompson MM.Endovascular repair of the descending thoracic aorta:evidence for the change in clinical practice[J].Vascular,2005,13:148-157.
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二级参考文献8

  • 1Crawford ES.Thoracoabdominal and abdominal aortic aneurysms involving renal,superior meseneric,and celiac arteries.Ann Surg,1974,179:763-772.
  • 2Svensson LG,Crawford ES,Hess KR,et al.Experience with 1509patients undergoing thoracoabdominal aortic operations.J Vasc Surg,1993,17:357-370.
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  • 4Kouchouko NT,Daily BB,Rokkas CK,et al.Hypothermic bypass and circulatory arrest for operations on the descending thoracic and thoracoabdominal aorta.Ann Thorac Surg,1995,60:672-677.
  • 5Guan H,Zheng Y,Li Y,et al.Fractionated-clamping for thoracoabdominal aortic aneurysm repair:a modified Crawford technique.Chin Med J,2002,115:1328-1331.
  • 6Kouchoukos NT,Masetti P,Rokkas CK,et al.Safety and efficacy of hypothermic cardiopulmonary bypass and circulatory arrest for operations on the descending thoracic and thoracoabdominal aorta.Ann Thorac Surg,2001,72:699-707.
  • 7Soukiasian H J,Raissi SS,Kleisli T,et al.Total circulatory arrest for the replacement of the descending and thoracoabdominal aorta.Arch Surg,2005,140:394-398.
  • 8Verdant A.Descending thoracic aortic aneurysms:surgical treatment with the Gott shunt.Can J Surg,1992,35 :493-496.

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临床外科杂志
2010年 第5期

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