妊娠合并主动脉夹层.PDF

中国胸心血管外科临床杂志 2018 年8 月第25 卷第0 期 • 1 •   ·综　述· 妊娠合并主动脉夹层 1 2 2 2 杨思姝 ，钱永军，梁伟涛，李涛 1. 四川大学华西临床医学院（成都  610041 ） 2. 四川大学华西医院 心脏大血管外科（成都  610041 ） 【摘要】   妊娠合并主动脉夹层在临床中较少见，同时由于其临床表现特异性小，早期诊断困难，病情进展 迅速，孕妇及胎儿死亡率高，妊娠孕妇发生死亡一半是由于发生主动脉夹层。在医疗条件快速发展的今天，妊娠 合并主动脉夹层对患者和临床医生仍然是一项巨大挑战，也是产科发生医疗纠纷的重要疾病之一。本文结合近 年来发表的相关妊娠合并主动脉夹层的文献，总结妊娠合并主动脉夹层的流行病学特点及相关处理建议。 【关键词】  主动脉夹层；妊娠；  Pregnancy with aortic dissection 1 2 2 2 YANG Sishu , QIAN Yongjun , LIANG Weitao , LI Tao 1. West China Hospital, Sichuan University, Chengdu, 610041, P.R.China 2. Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China Corresponding author: QIAN Yongjun, Email: yongjunqian@ 【Abstract 】 Aortic dissection during pregnancy is rare in clinic, because the symptoms are lack of specificity, early diagnosis could be difficult. However, the progression of aortic dissection is fast, therefore, the mortality of pregnant women and fetuses is high, the half of death in pregnant women is due to aortic dissection. Although the development of medical condition is rapid, aortic dissection of pregnancy is still a great challenge for patients and clinicians, and is one of the most important diseases in obstetric medical disputes. In this paper, which combined with the literatures published in recent years, we summarized the epidemiological characteristics and related treatment suggestions of the aortic dissection in pregnancy. 【Key words 】 Pregnancy; Marfan syndrome; aortic dissection [1] 主动脉夹层是由于主动脉壁内膜