急性A型主动脉夹层开放手术后Wunderlich综合征一例并文献复习
A case of Wunderlich syndrome following open surgery for acute type A aortic dissection and a review of the literature
姚绍文 1蒋雷 1秦雁女 1陆世春1
作者信息
- 1. 扬州大学附属苏北人民医院胸外科,江苏扬州 225001
- 折叠
摘要
急性A型主动脉夹层(ATAAD)是一种严重的心血管系统急症,以病情快速恶化和高死亡率为特征,对患者生命构成极大的威胁.治疗ATAAD的关键环节是手术干预,旨在修复受损的主动脉管壁,恢复其结构完整性和功能.然而,患者术后可能出现一系列并发症,其中罕见且严重的并发症包括Wunderlich综合征(WS),该综合征主要表现为自发性肾周血肿.尽管WS在文献中报告较少,但其对患者的康复和生存构成极大威胁.因此,医疗工作者必须警惕ATAAD术后可能出现的罕见且严重的并发症,并在发现时立即采取包括手术干预在内的紧急治疗措施,以最大限度地减少对患者健康的影响.
Abstract
Acute type A aortic dissection(ATAAD)is a severe cardiovascular emergency characterized by its rapid deterioration of the disease and high mortality rate,posing a significant threat to patients'lives.The key to treating ATAAD is surgical intervention,aimed at repairing the damaged aortic wall to restore its structural integrity and function.However,patients may experience a range of complications after surgery,among which the rare and serious ones include Wunderlich syndrome(WS)primarily manifested as spontaneous perirenal hematoma.Although WS is rarely reported in the literature,it poses a significant threat to patients'recovery and survival.Therefore,medical professionals must be vigilant about the rare and severe complications that may occur after ATAAD surgery,and take immediate emergency treatment measures,including surgical intervention,when detected,to minimize the impact on patients'health.
关键词
主动脉夹层/Wunderlich综合征/体外循环/动脉栓塞Key words
Aortic dissection/Wunderlich syndrome/Extracorporeal circulation/Arterial embolization引用本文复制引用
出版年
2024
NETL
NSTL
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