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目的分析主动脉夹层动脉瘤(DAOA)手术治疗的疗效。方法分析2009年6月至2013年6月手术治疗的20例DAOA患者的临床资料,观察患者术中、术后病死率,手术成功率,1年生存率及术后并发症情况。结果手术过程中未出现死亡病例,术后病死率为15.00%(3/20)。行Bentall术的患者,1例术后死于低心排血量综合征(LCOS),1例因术后严重出血致死。行腔内支架术的患者1例术后死于多脏器功能衰竭。80.00%(12/15)的患者手术获得成功,疗效较为满意。术后1年生存率为73.33%(11/15)。结论 DAOA手术治疗的早期病死率可接受,降低并发症发生率是降低病死率的关键。
Objective To analyze the effect of surgical treatment of aortic dissection aneurysm (DAOA). Methods The clinical data of 20 patients with DAOA surgically treated from June 2009 to June 2013 were analyzed. The intraoperative and postoperative mortality, the success rate of surgery, the one - year survival rate and postoperative complications were observed. Results No deaths occurred during the operation. The postoperative mortality rate was 15.00% (3/20). One patient underwent Bentallomy died of low cardiac output syndrome (LCOS) and one died of severe postoperative bleeding. One case of endovascular stent-graft died of multiple organ failure after operation. 80.00% (12/15) patients were successful in surgery, the effect is more satisfactory. The 1-year survival rate was 73.33% (11/15). Conclusion The early mortality of DAOA surgery is acceptable, and reducing the incidence of complications is the key to reduce the mortality.