摘要
急性肺损伤是急性主动脉夹层患者常见且严重的并发症之一,严重影响患者的康复。高龄、超重、吸烟史、低氧血症、低血压、夹层累及范围广、胸腔积液等是术前可能诱发急性肺损伤的危险因素,术中深低温停循环、血制品输注也可诱发或加重急性肺损伤。本文对急性主动脉夹层合并急性肺损伤的危险因素、疾病预测模型以及防治的研究现状进行综述,以期为临床诊疗提供帮助。
Acute lung injury is one of the common and serious complications of acute aortic dissection, and it greatly affects the recovery of patients. Old age, overweight, hypoxemia, smoking history, hypotension, extensive involvement of dissection and pleural effusion are possible risk factors for the acute lung injury before operation. In addition, deep hypothermia circulatory arrest and blood product infusion can further aggravate the acute lung injury during operation. In this paper, researches on risk factors, prediction model, prevention and treatment of acute aortic dissection with acute lung injury were reviewed, in order to provide assistance for clinical diagnosis and treatment.
作者
周文君
赤文萃
李万顺
宋兵
李元敏
ZHOU Wenjun;CHI Wencui;LI Wanshun;SONG Bing;LI Yuanmin(Department of Cardiovascular Surgery,The First Hospital of Lanzhou University,Lanzhou,730000,P.R.China;Department ofICU,The People's Hospital ofHui County,Longnan,742300,Gansu,P.R.China)
出处
《中国胸心血管外科临床杂志》
CSCD
北大核心
2021年第12期1503-1507,共5页
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
基金
甘肃省自然科学基金(基础研究计划)项目(I8JR3RA346)。
关键词
急性主动脉夹层
急性肺损伤
危险因素
预测模型
防治
Acute aortic dissection
acute lung injury
risk factors
prediction model
prevention and treatment
