中国体外循环杂志2024，Vol.22Issue(4)：268-273,6.DOI:10.13498/j.cnki.chin.j.ecc.2024.04.04
急性A型主动脉夹层行根部修复手术的早期死亡危险因素分析和护理体会
Analysis of early death risk factors and nursing experience of acute type A aortic dissection undergoing root repair surgery
摘要
Abstract
Objective To analyze the risk factors of early postoperative death in patients with acute Stanford type A aortic dissection(ATAAD)and the key points of early nursing care.Methods A retrospective analysis was performed on 281 patients with ATAAD who underwent aortic root repair surgery at the First Affiliated Hospital of Air Force Military Medical University between December 2018 and June 2022.Baseline data,laboratory examination indicators and imaging indicators were used as independent variables,survival during in-hospital/postoperative 30-day was used as dependent variable to divide the patients into survival group(n=251)and death group(n=30).Univariate analysis and multivariate logistic regression analysis were performed.Results A total of 281 patients were enrolled in this study,and in-hospital/postoperative 30-day mortality rate was 10.7%.Univariate analysis showed that there were significant differences in age,previous cerebrovascular accident,previous cardiogenic shock,preoperative monocyte count,preoperative prothrombin time,aspartate aminotransferase,alanine aminotransferase,D-dimer,cerebral malperfusion and renal malperfusion between the survival group and the death group(P<0.05).Multivariate logistic regression analysis showed that preoperative cerebrovascular accident,preoperative monocyte count,preoperative D-dimer and preoperative cerebral malperfusion were independent risk factors for in-hospital/postoperative 30-day mortality.Conclusion Doctors and nurses should focus on the independent risk factors for in-hospital/postoperative 30-day mortality,and cooperate to actively prevent,early diagnosis and care for these risk factors.关键词
主动脉夹层/危险因素/主动脉根部修复术Key words
Aortic dissection/Risk factors/Aortic root repair引用本文复制引用
李劲松,郭红,段维勋,刘金成,孙京玮..急性A型主动脉夹层行根部修复手术的早期死亡危险因素分析和护理体会[J].中国体外循环杂志,2024,22(4):268-273,6.基金项目
国家自然科学基金(82241204、82270420、82070503) （82241204、82270420、82070503）
陕西省重点研发计划(2022ZDLSF02-01) （2022ZDLSF02-01）
