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急性降主动脉夹层是致死性的主动脉疾病。治疗急性主动脉夹层的目标不仅是阻止动脉瘤的形成和破裂,而且要阻止灌注不良综合征这一类并发症的发生。尽管主动脉夹层伴灌注不良综合征的诊断有所提高,手术方式的选择有所改进,但外科手术治疗的病死率仍有50%。血管内治疗技术不断发展为主动脉夹层的治疗提供了一个新的选择。现回顾主动脉夹层伴灌注不良综合征的发病机制,讨论目前脊髓、小肠、肢体末梢灌注不足的治疗模式和各种治疗方法的疗效。
Acute descending aortic dissection is a fatal aortic disease. The goal of treatment of acute aortic dissection is not only to prevent the formation and rupture of aneurysms, but also to prevent the occurrence of complications such as poor perfusion syndrome. Although the diagnosis of aortic dissection with poor perfusion syndrome has improved and the choice of surgical modality has improved, the surgical mortality rate remains at 50%. The continuous development of endovascular treatment provides a new option for the treatment of aortic dissection. Now review the pathogenesis of aortic dissection with poor perfusion syndrome, discuss the current spinal cord, small intestine, peripheral perfusion deficiencies in the treatment mode and the efficacy of various treatment methods.