急性StanfordA型主动脉夹层术后早期死亡危险因素分析

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Risk Factor Analysis for Early Postoperative Mortality in Acute Stanford Type A Aortic Dissection

WANGQin,Maimaitiaili ·Aizezi

(Department of Cardiac Surgery,Xinjiang Uygur Autonomous Region People’s Hospital,Urumqi 830o1, Xinjiang,

China)

【Abstract】ObjectiveToinvestigatetheriskfactorsforearlypostoperativemortalityinpatientswithacute StanfordTypeAaortic disection(ATAAD).MethodsClinicaldataof248patintswithATAADwhounderwentsurgicaltreatmentatthecardiacsurgery departmentofXijiangUygurAutonomousReginPeople’sHospitalfromJanuary2021toDecember2O23wereretrospectivelyanaysd.The patientswerediideditogrousaccodingtoherteydd3asftersurgey，ndteirlicaldataereoltedalye risk factors affcting early postoperative death.ResultsThe 3O-day postoperative mortalitywas 17.74 % ,Univariate analysisshowed that abnormalpreoperativerenalfunction，lowerextremityischemia，operationtime，extracorporealcirculationtime，aorticblockti, intraoperativebleeding，intraopeativedbloodcelltrasfusio，traoperativeplasatrasusioncocoitantoroaryeyas graftingitat and secondary thoracotomy haemostasiswere statistically different between two groups( P

【Keywords】 Aneurysm;Dissecting;Surgical treatment; Risk factor

主动脉夹层（aorticdissection，AD）是最为凶险复杂的主动脉疾病之一，发病率高，病情凶险，死亡率极高。（剩余10530字）