Complications of acute Stanford type B aortic dissection and prognosis
10.3760/cma.j.issn.1673-4904.2010.24.001
- VernacularTitle:急性Stanford B型主动脉夹层并发症及其与预后的关系
- Author:
Hui HAN
- Publication Type:Journal Article
- Keywords:
Prognosis;
Aortic dissection;
Complications
- From:
Chinese Journal of Postgraduates of Medicine
2010;33(24):1-3
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo find the death predictors of acute Stanford type B aortic dissection patients by studying relationships between complications and prognosis. MethodsEighty-four patients with acute Stanford type B aortic dissection were included, the complications of pericardial fluid, pleural effussion,conscious disturbance ,oliguria, gastrointestinal tract bleeding and the level of creatine kinase were analyzed.There were 73 men and 11 women with age 30 - 81 (52.0±12.7) years old. ResultsThe overall mortality was 9.5％(8/84). There were 33.3％ (1/3) died with pericardial fluid, 35.7％ (5/14) died with pleural effussion, 50.0％ (2/4) died with gastrointestinal tract bleeding, all patients died with oliguria and conscious disturbance, 36.4％(4/11 ) patients died with elevated creatine kinase. The patients suffered from any of the complications had higher mortality than those free from complications. There was significant difference between patients suffering from pleural effussion, gastrointestinal tract bleeding,oliguria,conscious disturbance and high level of creatine kinase and who not suffering from the complications respectively in statistically (P ＜ 0.05 ). Logistic regression showed that pleural effussion was independent death predictor.ConclusionsThe mortality increases when acute Stanford type B aortic dissection patients combined with pleural effussion, gastrointestinal tract bleeding,oliguria, cons cious disturbance or high level of creatine kinase. Pleural effussion is independent death predictor.
