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
妊娠合并主动脉夹层是一种严重威胁女性生命健康的心血管疾病,早期识别和全程管理是降低其死亡率的关键.妊娠是中国人群主动脉夹层发病的独立危险因素,突发剧烈的胸背疼痛、出现心血管并发症、器官灌注不良等预示着主动脉夹层的发生和进展.经食管超声心动图是拟诊主动脉夹层必要的初步影像学评估手段,磁共振成像是孕期明确主动脉夹层的首选确诊手段.治疗方案及手术策略应根据孕周、分型、主动脉直径及其增长速度等分别制定,多学科团队协作诊疗是改善母儿预后的基础.
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引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据