中低温停循环在A型主动脉夹层手术中的最新进展OA
Recent Advances in Moderate Hypothermic Circulatory Arrest for Stanford Type A Aortic Dissection Surgery
中低温停循环作为A型主动脉夹层手术中的核心管理策略,其临床价值及优化方案是近年来研究的焦点.本文全面综述了中低温停循环技术在Stanford A型主动脉夹层中的应用,内容涵盖基础理论、流行病学、临床实践、未来发展等多个方面.文章详细阐述了Stanford A型主动脉夹层的病理机制、中低温停循环的生理影响,深入分析了该疾病的流行病学特征、诊断技术以及中低温停循环的围术期管理、对术后并发症的影响和应用效果,探讨了其与其他术中保护技术的比较以及围绕中低温停循环的安全性与有效性争议,并对中低温停循环技术的未来发展和Stanford A型主动脉夹层治疗的创新发展进行了阐述.综合众多研究,为该领域的临床实践和研究提供了全面的参考.
As a core management strategy in type A aortic dissection surgery,moderate hypothermic circulatory arrest has made its clinical value and optimization strategies the focus of research in recent years.This paper provides a comprehensive review of the application of moderate hypothermic circulatory arrest in Stanford Type A aortic dissection,covering fundamental theories,epidemiology,clinical practice,and future developments.It elaborates in detail on the pathology of Stanford Type A aor-tic dissection and the physiological effects of moderate hypothermic circulatory arrest.The article conducts an in-depth analysis of the epidemiological characteristics of this disease,diagnostic techniques,as well as the perioperative management of moderate hypothermic circulatory arrest,its impact on postoperative complications,and clinical outcomes.It also explores comparisons with other intraoperative protective techniques and controversies surrounding the safety and efficacy of moderate hypothermic circulatory arrest.Furthermore,the paper discusses future advancements in moderate hypothermic circulatory arrest technology and innovative developments in the treatment of Stanford Type A aortic dissection.By synthesizing numerous studies,this paper offers a comprehensive reference for clinical practice and research in this field.
唐志康;刘燕
武汉科技大学附属武汉亚洲心脏病医院体外循环科,武汉 430070武汉科技大学附属武汉亚洲心脏病医院体外循环科,武汉 430070
中低温停循环主动脉夹层诊断治疗围术期管理术后并发症
moderate hypothermic circulatory arresttype A aortic dissectiondiagnosistreatmentperioperative man-agementpostoperative complications
《中国体外生命支持》 2026 (1)
51-57,7
武汉市医学科学研究项目(WX23A76)
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