急性A型主动脉夹层外科治疗进展
Advances in the Surgical Treatment of Acute Type A Aortic Dissection
DOI: 10.12677/ACM.2024.143723, PDF,   
作者: 菲尔顿·吐尔洪, 霍 强*：新疆医科大学第一附属医院心脏中心心脏外科，新疆 乌鲁木齐
关键词: 主动脉夹层；手术策略；新技术；研究进展；Aortic Dissection； Surgical Strategy； New Technologies； Research Progress
摘要: 文章介绍了关于急性A型主动脉夹层(ATAAD)外科治疗的进展。ATAAD是一种危险且致命的心血管疾病，源于主动脉内膜的撕裂，可能导致主动脉破裂和其他严重并发症，ATAAD的治疗时机至关重要，早期诊断和手术干预能够显著改善患者的生存率。本文章主要对目前传统手术方式策略的选择、探讨了外科手术和腔内修复等治疗方式的优劣势，常规外科传统手术及其他手术策略的常见并发症，强调了术后的随访和终身检测的重要性，以及在医疗环境中进行心理状态评估和人文关怀的必要性。总结了ATAAD治疗的现状和未来发展方向，强调了对患者的全面关注和个体化治疗的重要性。
Abstract: Advances in the surgical treatment of acute type A aortic dissection (ATAAD), a potentially deadly cardiovascular condition caused by a rupture in the aortic intima and potentially leading to aortic dissection and other major consequences, are discussed in this article. Early diagnosis and surgical intervention can significantly increase patient survival; nonetheless, the timing of ATAAD treatment is crucial. The selection of contemporary surgical approaches is the main topic of this article, which also covers the benefits and drawbacks of various treatment modalities, including surgery and endoluminal repair, as well as common complications from conventional surgery and alternative surgical approaches. It also highlights the significance of postoperative follow-up, life-time testing, and the requirement for psychological status assessment and humanistic care in the healthcare setting. A summary of the present state and potential future paths of ATAAD treatment is provided, with particular emphasis placed on the significance of thorough patient care and tai-lored interventions.
文章引用：菲尔顿·吐尔洪, 霍强. 急性A型主动脉夹层外科治疗进展[J]. 临床医学进展, 2024, 14(3): 450-457. https://doi.org/10.12677/ACM.2024.143723

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