Management von Patienten mit Aortendissektion
Management von Patienten mit Aortendissektion
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主动脉剥离患者的管理
DOI：
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发表时间：
2008
期刊：
影响因子：
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通讯作者：
F. Beyersdorf
中科院分区：
文献类型：
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作者：
E. Weigang;C. Nienaber;T. Rehders;H. Ince;C. Vahl;F. Beyersdorf
主动脉夹层患者的管理简介：随着人口的老龄化，急性主动脉疾病的发病率将继续上升。方法：选择性文献回顾。结果/讨论：在专门从事最大限度护理的中心，重要的是对临床怀疑的急性主动脉疾病病例制定特定的策略，并立即采取非侵入性诊断措施。如果诊断为急性主动脉夹层，必须立即提供必要的治疗。由于这种疾病危及生命，应该建立一个由转诊医生和机构组成的合作网络，以确保这些危重患者的最佳治疗。急性A型主动脉夹层通常需要手术，对于无并发症的B型夹层，一期治疗保守复杂，B型夹层可采用支架植入术为主，转诊医学专家和机构在治疗后应密切跟踪患者，以便及时发现和处理可能出现的问题。关键词：主动脉夹层，分类，诊断，腔内治疗，外科治疗Mit“e”gekennzeichnete文献：www.Aerzteblatt.de/lit3808本文的英文版本可在网上找到：www.Aerzteblatt-International al.de
SUMMARY Management of Patients With Aortic DissectionIntroduction:The incidence of acute diseases of the aorta will continueto rise as our population ages.Methods: Selective literature review.Results/Discussion:At centers specializing in maximum care,it is important that a specific strategy should be established in cases ofclinically suspected,acute aortic diseases,and non-invasive diagnosticmeasures should be taken without delay.If an acute aortic dissection is diagnosed,the necessary treatment must be provided immediately.As this disease is life-threatening,a cooperating network of referringphysicians and institutions should be set up in order to ensure optimaltreatment for these desperately ill patients.Acute type A aortic dissec-tions generally require surgery,while the primary treatment of uncompli-cated type B dissections is conservative and complicated type B dissec-tions can be treated primarily with stent-graft implantation.The referringmedical specialists and institutions should follow the patients closely after treatment so that any problems that may develop can be recogniz-ed and treated in timely fashion.Dtsch Arztebl 2008; 105(38): 639–45DOI:10.3238/arztebl.2008.0639Key words:aortic dissection,classification,diagnosis,endovascular treatment,surgical treatmentMit „e“ gekennzeichnete Literatur:www.aerzteblatt.de/lit3808The English version of this article is available online:www.aerzteblatt-international.de