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妊娠合并主动脉夹层的早期识别和全程管理

王司琪 陈秋和 单丹 胡雅毅

中国实用妇科与产科杂志2024,Vol.40Issue(12):1164-1168,5.
中国实用妇科与产科杂志2024,Vol.40Issue(12):1164-1168,5.DOI:10.19538/j.fk2024120104

妊娠合并主动脉夹层的早期识别和全程管理

Early identification and whole-process manage-ment of pregnancy complicated by aortic dissec-tion

王司琪 1陈秋和 1单丹 1胡雅毅1

作者信息

  • 1. 四川大学华西第二医院产科/出生缺陷与相关妇儿疾病教育部重点实验室,四川成都 610000
  • 折叠

摘要

Abstract

Pregnancy complicated by aortic dissection is a cardiovascular disease that seriously threatens the life and health of women.Early identification and whole-process management are the key to reducing its mortality rate.Pregnancy is an independent risk factor for aortic dissection in Chinese people.Sudden severe chest and back pain,cardiovascular complications,and poor perfusion of internal organs indicate the occur-rence and progression of aortic dissection.Trans-esophageal echocardiography is a necessary initial imaging assessment method for patients with suspected aortic dissection,and magnetic resonance imaging is the preferred diagnostic method for clearly identifying aortic dissection during pregnancy.Treatment plans and surgical strategies should be formulated separately based on the gestational age,type,aortic diameter and growth rate.The diagnosis and treatment through multidisciplinary team collaboration is the basis for improving maternal and fetal prognosis.

关键词

妊娠/主动脉夹层/识别/管理

Key words

pregnancy/aortic dissection/identifica-tion/management

分类

医药卫生

引用本文复制引用

王司琪,陈秋和,单丹,胡雅毅..妊娠合并主动脉夹层的早期识别和全程管理[J].中国实用妇科与产科杂志,2024,40(12):1164-1168,5.

基金项目

国家自然科学基金青年科学基金(82301924) (82301924)

四川省卫生健康委员会科技项目(23LCYJ013) (23LCYJ013)

四川省继续医学教育项目(21-044-05020663) (21-044-05020663)

中国实用妇科与产科杂志

OA北大核心CSTPCD

1005-2216

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