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主动脉夹层41例治疗与随访观察

李云富 耿秀双

中外医学研究Issue(36):108-109,2.
中外医学研究Issue(36):108-109,2.

主动脉夹层41例治疗与随访观察

Aortic Dissection Treatment and Follow-up in 41 Patients

李云富 1耿秀双2

作者信息

  • 1. 鹤壁市人民医院 河南 鹤壁 458030
  • 2. 鹤壁职业技术学院
  • 折叠

摘要

Abstract

Objective:To explore the hibernation therapy efficacy and safety of aortic dissection.Method:41 patients with aortic dissection were selected, on the basis of routine therapy plus hibernation therapy,antihypertensive target was about 110/80 mm Hg.Compared the patient admission and discharge heart colour to exceed,heart and great vessels computed tomography(CT),electrocardiogram(ECG),blood sugar,blood fat,liver function,serum creatinine,blood uric acid,myocardial enzyme,etc.Follow-up for all patients at the same time and Monitoring indicators included death cases,disability cases,hospitalization days,hospitalized time,etc.Result:In 41 patients who were admitted by echocardiography,cardiac and vascular CT diagnosis,including 39 cases with abnormal electrocardiogram,blood glucose increased in 22 cases,32 cases of abnormal blood lipid,blood uric acid increased in 14 cases,myocardial enzyme increased in 3 cases.After treatment,discharge by color Doppler ultrasound and CT scan in 36 cases of cardiac and vascular structure were normal,31 cases with abnormal electrocardiogram,blood glucose increased in 12 cases,18 cases of abnormal blood lipid,blood uric acid increased in 11 cases.In 41 patients 32 patients were cured,5 cases died,4 cases of disability,4 cases of death forⅠtype,average admission time was more than 1 hours,disabilitys wereⅢtype. Conclusion:Hibernation therapy of aortic dissection has good curative effect,early diagnosis and treatment is essential.Its prognosis is closely related to the onset of type.

关键词

主动脉夹层/冬眠疗法/入院时间/预后

Key words

Aortic dissection/Hibernation therapy/Admission time/Prognosis

分类

医药卫生

引用本文复制引用

李云富,耿秀双..主动脉夹层41例治疗与随访观察[J].中外医学研究,2014,(36):108-109,2.

中外医学研究

1674-6805

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