{"id":38823,"date":"2024-07-26T05:10:16","date_gmt":"2024-07-26T05:10:16","guid":{"rendered":"https:\/\/zydq.1006ss.com\/?p=38823"},"modified":"2024-07-26T05:10:16","modified_gmt":"2024-07-26T05:10:16","slug":"%e4%b8%ad%e6%94%be-b%e5%9e%8b%e4%b8%bb%e5%8a%a8%e8%84%89%e5%a4%b9%e5%b1%82%e4%b8%b4%e5%ba%8a%e6%8c%87%e5%8d%97-%e5%88%86%e5%9e%8b%e5%88%86%e5%8c%ba%e5%88%86%e6%9c%9f%e5%88%86%e7%b1%bb%e7%af%87","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=38823","title":{"rendered":"\u4e2d\u653e | B\u578b\u4e3b\u52a8\u8109\u5939\u5c42\u4e34\u5e8a\u6307\u5357-\u5206\u578b\u5206\u533a\u5206\u671f\u5206\u7c7b\u7bc7"},"content":{"rendered":"<p>\u5206\u578b<\/p>\n<p>\u76ee\u524d\uff0c\u56fd\u9645\u4e0a\u5e94\u7528\u6700\u5e7f\u6cdb\u7684\u4e3b\u52a8\u8109\u5939\u5c42\u5206\u578b\u7cfb\u7edf\u662f DeBakey\u5206\u578b\u548c 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0~4\u533a\uff0c\u4ee5\u9002\u5e94\u8154\u5185\u6cbb\u7597\u8fd1\u7aef\u951a\u5b9a\u533a\u5b9a\u4f4d\u7684\u9700\u8981\u30020\u533a\uff1a\u4e3b\u52a8\u8109\u7aa6\u2011\u5347\u4e3b\u52a8\u8109\u79fb\u884c\u5904\u81f3\u65e0\u540d\u52a8\u8109\u5f00\u53e3\u8fdc\u7aef\uff1b1 \u533a\uff1a\u65e0\u540d\u52a8\u8109\u5f00\u53e3\u8fdc\u7aef\u81f3\u5de6\u9888\u603b\u52a8\u8109\u5f00\u53e3\u8fdc\u7aef\uff1b2 \u533a\uff1a\u5de6\u9888\u603b\u52a8\u8109\u5f00\u53e3\u8fdc\u7aef\u81f3\u5de6\u9501\u9aa8\u4e0b\u52a8\u8109\u5f00\u53e3\u8fdc\u7aef\uff1b3 \u533a\uff1a\u5de6\u9501\u9aa8\u4e0b\u52a8\u8109\u5f00\u53e3\u8fdc\u7aef\u81f3\u5de6\u9501\u9aa8\u4e0b\u52a8\u8109\u5f00\u53e3\u4ee5\u8fdc 2 cm \u5904\uff1b4 \u533a\uff1a\u5de6\u9501\u9aa8\u4e0b\u52a8\u8109\u5f00\u53e3\u4ee5\u8fdc 2 cm \u5904\u81f3\u80f8\u964d\u4e3b\u52a8\u8109\u4e2d\u70b9\uff08\u7ea6\u7b2c 6 \u80f8\u690e\u6c34\u5e73\uff09\uff1b5 \u533a\uff1a\u80f8\u964d\u4e3b\u52a8\u8109\u4e2d\u70b9\uff08\u7ea6\u7b2c 6 \u80f8\u690e\u6c34\u5e73\uff09\u81f3\u8179\u8154\u5e72\u5f00\u53e3\u8fd1\u7aef\uff1b6 \u533a\uff1a\u8179\u8154\u5e72\u5f00\u53e3\u8fd1\u7aef\u81f3\u80a0\u7cfb\u819c\u4e0a\u52a8\u8109\u5f00\u53e3\u8fd1\u7aef\uff1b7 \u533a\uff1a\u80a0\u7cfb\u819c\u4e0a\u52a8\u8109\u5f00\u53e3\u8fd1\u7aef\u81f3\u9ad8\u4f4d\u80be\u52a8\u8109\u5f00\u53e3\u8fd1\u7aef\uff1b8 \u533a\uff1a\u9ad8\u4f4d\u80be\u52a8\u8109\u5f00\u53e3\u8fd1\u7aef\u81f3\u4f4e\u4f4d\u80be\u52a8\u8109\u5f00\u53e3\u8fdc\u7aef\uff1b9 \u533a\uff1a\u4f4e\u4f4d\u80be\u52a8\u8109\u5f00\u53e3\u8fdc\u7aef\u81f3\u4e3b\u52a8\u8109\u5206\u53c9\u5904\uff1b10\u533a\uff1a\u4e3b\u52a8\u8109\u5206\u53c9\u5904\u81f3\u9ac2\u603b\u52a8\u8109\u5206\u53c9\u5904\uff1b11\u533a\uff1a\u9ac2\u5916\u52a8\u8109\u6bb5\uff08\u56fe4\uff09\u3002\u5206\u671f\u4e3b\u52a8\u8109\u5939\u5c42\u901a\u5e38\u6839\u636e\u53d1\u75c5\u65f6\u95f4\u8fdb\u884c\u5206\u671f\u3002\u4f20\u7edf\u4e0a\u6839\u636e\u53d1\u75c5\u65f6\u95f4\u226414 d \u6216&gt;14 d \u5c06\u4e3b\u52a8\u8109\u5939\u5c42\u7b3c\u7edf\u5730\u5206\u4e3a\u6025\u6027\u671f\u548c\u6162\u6027\u671f\u3002\u8fd1\u5e74\u6765\uff0c\u968f\u7740\u5f71\u50cf\u5b66\u7684\u53d1\u5c55\u53ca\u5bf9\u5939\u5c42\u8ba4\u8bc6\u7684\u52a0\u6df1\uff0c\u4e9a\u6025\u6027\u671f\u7684\u6982\u5ff5\u88ab\u63d0\u51fa \u3002 VIRTUE Registry \u7814 \u7a76 \u901a \u8fc7 \u5bf9 \u6bd4 \u6025 \u6027 \u671f\uff08&lt;15 d\uff09\u3001\u4e9a\u6025\u6027\u671f\uff0815~92 d\uff09\u548c\u6162\u6027\u671f\uff08&gt;92 d\uff09\u5bf9TBAD \u884c \u80f8 \u4e3b \u52a8 \u8109 \u8154 \u5185 \u4fee \u590d \u672f\uff08thoracic&nbsp;endovascular aortic repair\uff0c TEVAR\uff09\u7684\u6548\u679c\uff0c\u7ed3\u679c\u663e\u793a\u4e9a\u6025\u6027\u671f\u4e3b\u52a8\u8109\u91cd\u5851\u7387\u660e\u663e\u4f18\u4e8e\u6162\u6027\u671f\uff0c\u540c\u65f6\u4e25\u91cd\u5e76\u53d1\u75c7\u53d1\u751f\u7387\u8f83\u6025\u6027\u671f\u663e\u8457\u964d\u4f4e\u3002ESC \u4e8e2014\u5e74\u53d1\u5e03\u7684\u300a\u4e3b\u52a8\u8109\u75be\u75c5\u8bca\u65ad\u548c\u6cbb\u7597\u6307\u5357\u300b\u4e2d\u63a8\u8350\u7684 TBAD \u5206\u671f\u65b9\u6cd5\u4e3a\uff1a<\/p>\n<ul>\n<li>\u53d1\u75c5\u65f6\u95f4\u226414 d\u4e3a\u6025\u6027\u671f\uff1b<\/li>\n<li>14~90 d \u4e3a\u4e9a\u6025\u6027\u671f\uff1b<\/li>\n<li>&gt;90 d \u4e3a\u6162\u6027\u671f\u3002<\/li>\n<\/ul>\n<p>\u672c\u6307\u5357\u63a8\u8350\u91c7\u7528ESC\u6307\u5357\u63a8\u8350\u7684\u5206\u671f\u65b9\u6cd5\u3002\u5206\u7c7bTBAD \u7684\u5206\u7c7b\u6709\u52a9\u4e8e\u6307\u5bfc\u60a3\u8005\u98ce\u9669\u5206\u5c42\u3001\u9009\u62e9\u6cbb\u7597\u65b9\u5f0f\u548c\u8bc4\u4f30\u9884\u540e\u3002\u6839\u636e\u8d77\u75c5\u65f6\u7684\u4e34\u5e8a\u7279\u5f81\u548c\u5f71\u50cf\u5b66\u8868\u73b0\uff0cTBAD \u53ef\u5206\u4e3a\u590d\u6742\u578b\u548c\u975e\u590d\u6742\u578b\u30022014 \u5e74 ESC \u6307\u5357\u5bf9\u590d\u6742\u578b TBAD \u7684\u5b9a\u4e49\u662f\u81f3\u5c11\u5b58\u5728\u4e0b\u5217\u60c5\u51b5\u4e4b\u4e00\uff1a\u52a8\u8109\u7834\u88c2\u6216\u5148\u5146\u7834\u88c2\u3001\u810f\u5668\u704c\u6ce8\u4e0d\u826f\u3001\u52a8\u8109\u5feb\u901f\u6269\u5f20\u3001\u6301\u7eed\u6216\u53cd\u590d\u75bc\u75db\u53ca\u836f\u7269\u96be\u4ee5\u63a7 \u5236 \u7684 \u9ad8 \u8840 \u538b \u3002 \u5e76 \u5728 \u8be5 \u6307 \u5357 \u4e2d \u63a8 \u8350 \u5bf9 \u590d \u6742 \u578bTBAD\u9996\u9009 TEVAR\u6cbb\u7597\uff0c\u800c\u5bf9\u975e\u590d\u6742\u578bTBAD\u9996\u9009\u836f\u7269\u4fdd\u5b88\u6cbb\u7597\u3002\u672c\u6307\u5357\u63a8\u8350\u5c06\u4e3b\u52a8\u8109\u5939\u5c42\u5206\u4e3a 3 \u7c7b\uff1a<\/p>\n<ul>\n<li>\u590d\u6742\u578b<\/li>\n<li>\u975e\u590d\u6742\u578b<\/li>\n<li>\u975e\u590d\u6742\u578b\uff08\u542b\u9ad8\u5371\u56e0\u7d20\uff09\u3002<\/li>\n<\/ul>\n<p>\u590d\u6742\u578b\u6307\u5b58\u5728\u7834\u88c2\u6216\u5148\u5146\u7834\u88c2\u6216\u704c\u6ce8\u4e0d\u826f\u5f81\u8c61\u3002\u975e\u590d\u6742\u578b\u6307\u65e0\u7834\u88c2\u3001\u704c\u6ce8\u4e0d\u826f\u5f81\u8c61\uff0c\u4e5f\u65e0\u9ad8\u5371\u56e0\u7d20\u3002\u975e\u590d\u6742\u578b\uff08\u542b\u9ad8\u5371\u56e0\u7d20\uff09\u6307\u5b58\u5728\u4e0b\u5217\u5f81\u8c61\u4e4b\u4e00\u8005\uff1a\u4e3b\u52a8\u8109\u6700\u5927\u76f4\u5f84&gt;40 mm\u3001\u5047\u8154\u6700\u5927\u76f4\u5f84&gt;22 mm\u3001\u4e0d\u53ef\u7f13\u89e3\u7684\u75bc\u75db\u3001\u65e0\u6cd5\u63a7\u5236\u7684\u9ad8\u8840\u538b\u3001\u8840\u6027\u80f8\u8154\u79ef\u6db2\u3001\u5355\u7eaf\u5f71\u50cf\u5b66\u68c0\u67e5\u53d1\u73b0\u7684\u704c\u6ce8\u4e0d\u826f\u3001\u5c0f\u5f2f\u4fa7\u7684\u539f\u53d1\u7834\u53e3\u3001\u518d\u5165\u9662\u3002\u4e0d\u53ef\u7f13\u89e3\u7684\u75bc\u75db\u5b9a\u4e49\u4e3a\u5c3d\u7ba1\u4e88\u4ee5\u8db3\u91cf\u7684\u964d\u538b\u3001\u6b62\u75db\u3001\u6297\u7126\u8651\u6cbb\u7597\uff0c\u60a3\u8005\u4ecd\u8bc9\u5267\u70c8\u75bc\u75db\u4e14\u6301\u7eed\u65f6\u95f4&gt;12 h\u3002\u65e0\u6cd5\u63a7\u5236\u7684\u9ad8\u8840\u538b\u5b9a\u4e49\u4e3a\u4f7f\u7528\u8d85\u8fc73\u79cd\u4e0d\u540c\u7c7b\u578b\u7684\u964d\u538b\u836f\uff0c\u6309\u6700\u5927\u63a8\u8350\u6216\u8010\u53d7\u5242\u91cf\u7ed9\u836f\uff0c\u60a3\u8005\u4ecd\u6709\u9ad8\u8840\u538b\u4e14\u6301\u7eed\u65f6\u95f4&gt;12 h\u3002\u704c\u6ce8\u4e0d\u826f\u5b9a\u4e49\u4e3a\u7531\u4e3b\u52a8\u8109\u5939\u5c42\u5bfc\u81f4\u7684\u7ec8\u672b\u5668\u5b98\uff08\u5982\u5185\u810f\u3001\u80be\u810f\u3001\u810a\u9ad3\u3001\u56db\u80a2\uff09\u8840\u6d41\u4e0d\u8db3\u3002\u6839\u636e\u5206\u652f\u8840\u7ba1\u963b\u585e\u673a\u5236\u7684\u4e0d\u540c\uff0c\u704c\u6ce8\u4e0d\u826f\u53ef\u5206\u4e3a\uff08\u56fe 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