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目的探讨Stanford A型主动脉夹层合并妊娠患者的手术配合及围手术期管理方法。方法对8例急性主动脉夹层合并妊娠患者手术配合及围手术期管理情况进行回顾性总结。结果本组中5例患者术后康复顺利,出院后分别足月顺产3男2女,随访12~48个月,婴儿均发育正常,母亲无不适;2例孕晚期者,手术同期行剖宫产术取出健康男婴,婴儿发育正常,母子顺利出院;1例于术后27h突发室颤母婴死亡。结论术前精心准备,术中密切配合,术后严格管理,能够有效控制并发症,提高手术成功率及胎儿成活率。
Objective To investigate the surgical cooperation and perioperative management of patients with Stanford type A aortic dissection and pregnancy. Methods The surgical cooperation and perioperative management of 8 patients with acute aortic dissection and pregnancy were retrospectively reviewed. Results In this group, 5 patients recovered well after operation. All patients were 3 males and 2 females with full-term follow-up of 12 males and 48 females after discharge. The infants developed normally and their mothers had no discomfort. In the second trimester of pregnancy, The birth of a healthy baby boy was removed, the baby developed normally, and the mother and child were discharged smoothly. One patient died of paroxysmal fibrillation at 27 hours after operation. Conclusions Careful preparation before operation, close cooperation during operation and strict management after operation can effectively control the complications and improve the success rate of surgery and fetal survival rate.