摘要
目的 探讨合并肾功能衰竭的StanfordB型主动脉夹层动脉瘤腔内隔绝术 (EVE)的手术适应证、围手术期处理等。方法 2例术前合并肾功能衰竭者 ,术前 1d加做血透 1次 ,术中控制补液量 ,术后床旁血透。结果 2例肾衰患者手术顺利 ,围手术期代谢及循环平稳。结论 在认真做好围手术期处理的前提下 ,合并肾功能衰竭的主动脉夹层动脉瘤患者可以安全接受EVE治疗。
Objective To investigate the indications and peri-operative management of endovascular graft exclusion of aortic dissection combined with renal failure. Methods Endovascular graft exclusion for Stanford B type thoracic aortic dissection had been preformed on 136 patients including two complicated with renal failure. Hemodialysis was preformed before operation with the fluid infusion controlled during the operation and bed-side hemodialysis after the operation for the latter. Results All the 2 cases with reral failure complication were successfully carried out, and the peri-operative metobolism and circulation were kept on smoothly. Conclusions Under good peri-operative management, patients having aortic dissection combined with renal failure could receive the endovascular graft exclusion of aortic dissection safely.
出处
《介入放射学杂志》
CSCD
2003年第4期261-263,共3页
Journal of Interventional Radiology
基金
军队杰出人才基金资助项目 (98J0 0 5 )
上海市卫生系统"百人计划"资助项目 (97BR0 47)
