吸毒合并主动脉夹层患者术中严重血管麻痹综合征一例及文献复习
Vasoplegic syndromes under cardiopulmonary bypass of aortic dissection patients with the illicit-substance-using:A case report and literature review
王结能 1孙伟 1杨路希 1刘瑞生1
作者信息
摘要
血管麻痹综合征(vasoplegic syndromes,VS)是一种以严重低血压和血流动力学高排低阻为特征的综合征,常发生于体外循环术中,因其缺乏特征性表现,临床上常难以明确诊断.长期吸毒导致患者药物依赖并对心血管系统造成明显的损害,戒断期间术中可能导致一系列影响而掩盖VS的症状.因此,如何在体外循环中及时发现VS甚至提前做好预案有重要意义.吸毒患者体外循环手术的报道比较少见.本文报告1例A型主动脉夹层(type A aortic dissection,TA AD)的吸毒患者体外循环术中发生VS的病例,并通过文献复习,探讨预防和处理对策.
Abstract
Vasoplegic syndromes(VS)is a syndrome characterized by severe hypotension and high hemodynamic output and low resistance,which often occurs during cardiopulmonary bypass.However,due to the lack of characteristic performance,it is often difficult to make a clear diagnosis in clinical practice.Long-term drug use has obvious damage to the patient's cardiovascular system.Intraoperative drug interruption may lead to a series of effects and mask the symptoms of VS.Therefore,it has great significance to find VS in time during cardiopulmonary bypass and even make a plan in advance.There are few reports of drug abuse patients undergoing cardiopulmonary bypass.This paper reports a VS case occurred during cardiopulmonary bypass and analyzes the key points for timely diagnosis and management strategies of type A aortic dissection(TAAD)patient with drug abuse through systematic literature review.
关键词
血管麻痹综合征/Stanford/A型主动脉夹层/体外循环/吸毒Key words
vasoplegic syndromes/stanford type A aortic dissection/cardiopulmonary bypass/drug addicts引用本文复制引用
基金项目
兰州大学第一医院院内青年基金(ldyyyn2019-106)
出版年
2024
NETL
NSTL
万方数据