【摘 要】
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目的 评价应用全主动脉弓人工血管替换加改良支架象鼻技术(孙氏手术),治疗Standford A型主动脉夹层的临床效果.方法 自2012年6月～2013年6月,应孙氏手术治疗急性Standford A型主动脉夹层11例,男性9例,女性2例,平均(42.1±10.4)岁.同期升主动脉行单纯置换8例,Bentall手术1例,Mini-root手术2例.结果 全组平均体外循环(166.0±44.8) mi
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目的 评价应用全主动脉弓人工血管替换加改良支架象鼻技术(孙氏手术),治疗Standford A型主动脉夹层的临床效果.方法 自2012年6月～2013年6月,应孙氏手术治疗急性Standford A型主动脉夹层11例,男性9例,女性2例,平均(42.1±10.4)岁.同期升主动脉行单纯置换8例,Bentall手术1例,Mini-root手术2例.结果 全组平均体外循环(166.0±44.8) min,主动脉阻断(103.7±17.5)min深低温停循环(55.1±11.3)min,肾衰需要接受长期血液透析治疗1例,术后院内无死亡病例；平均随访(5.6±2.0)个月,随访中无死亡病例,患者出院1个月后支架血管段假腔闭合效果好的占81.8％.结论 应用孙氏手术治疗主动脉夹层有良好的临床效果.
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