摘要
目的 总结应用分次主动脉阻断法行胸腹主动脉瘤重建的经验.方法 运用四分叉人工血管,分次阻断,行胸腹主动脉分支重建术12例.按照Crawford的分类标准,Ⅰ型3例,Ⅱ型6例,Ⅲ型2例,Ⅳ型1例.结果 12例患者手术均获得成功.其中1例术后出现肾功能衰竭合并肺部感染,2d后死亡;截瘫1 例,未康复;5例出现肺部感染,均治愈.结论 应用分次主动脉阻断法行胸腹主动脉重建术,降低了手术病死率,减轻了术后并发症,缩短了脏器的缺血时间,是行胸腹主动脉置换较为合理的方式.
Objective To summarize the experience of fractionated aortic clamping for thoracoab- dominal aortic aneurysm （TAA） reconstruction. Methods Using four-branch vessel prosthesis and fractionated clamping technique,all 12 patients underwent TAA repair. AccQrding to the Crawford classifica- tion,6 cases were type Ⅱ ,2 cases were type Ⅲ and 1 case was type IV. Results All the 12 procedures were performed successfully. One patient had renal failure and. pulmonary infection postoperatively and died 2 days later. One patient had paraplegia and did not recover from it. Five patients had pulmonary complica- tions and got. cured. Conclusion Fractionated clamping for TAA repair reduces the surgical mortality, decreases the occurrence of postoperative complications, shortens the organ ischemic time and is a more rea- sonable way for thoracoabdominal aortic replacement.
出处
《临床外科杂志》
2012年第7期493-494,共2页
Journal of Clinical Surgery
关键词
主动脉瘤
人工血管
体外循环
主动脉置换
aortic aneurysm
vessel prosthesis
extracorporeal circulation
aortic re- placement
