Advances in delayed surgery in patients with aortic dissection

doi:10.12114/j.issn.1007-9572.2019.00.594

Abstract

Abstract: Aortic dissection is a dangerous disease with rapid progression.Timely and effective surgical treatment is the key treatment method，but is often delayed to varying degrees.In this paper，the definition，current situation and causes of delayed surgery in patients with aortic dissection were summarized based on the reviewing of related articles，It's found that referral，history of cardiac surgery，painless，acute heart failure，severe complications and preoperative coronary angiography were the main influencing factors,aiming at increasing people's understanding of surgical delay in these patients，and providing theoretical support for formulating targeted intervention measures to shorten the delay time.

Key words: Aortic diseases, Aortic dissection, Delayed surgery, Referral, Review

摘要： 主动脉夹层（AD）起病凶险、病情进展快，及时有效的手术治疗是关键的救治手段，但目前手术存在不同程度的延迟。本文综合国内外文献，从AD患者手术延迟的定义、现状、原因进行综述，发现转诊、心脏手术史、无痛、急性心力衰竭表现、严重合并症、术前冠状动脉造影等为其主要影响因素，旨在加大人们对AD手术延迟的认识，为制定针对性干预措施、缩短手术延迟时间提供理论支撑。

关键词: 主动脉疾病, 主动脉夹层, 手术延迟, 转诊, 综述

XIAO Yaru,HUANG Sufang,DENG Juan, et al. Advances in delayed surgery in patients with aortic dissection[J]. Chinese General Practice, 2020, 23(20): 2492-2497. DOI: 10.12114/j.issn.1007-9572.2019.00.594.
肖亚茹,黄素芳,邓娟等. 主动脉夹层患者手术延迟的研究进展[J]. 中国全科医学, 2020, 23(20): 2492-2497. DOI: 10.12114/j.issn.1007-9572.2019.00.594.

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