The explore of risk factors on DeBakey type Ⅰ aortic dissection postoperative respiratory dysfunction
10.3760/cma.j.issn.1673-4904.2013.05.012
- VernacularTitle:DeBakey Ⅰ型主动脉夹层术后急性呼吸功能不全的危险因素探讨
- Author:
Yongsheng ZHANG
- Publication Type:Journal Article
- Keywords:
Aneurysm,dissecting;
Respiratory insufficiency;
Risk factors
- From:
Chinese Journal of Postgraduates of Medicine
2013;(5):34-37
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the risk factors associated with respiratory dysfunction (ARD) in patients with DeBakey type Ⅰ aortic dissection after operation and provide the measures for prevention and treatment.Methods Retrospectively analyzed the clinical data of DeBakey Ⅰ type aortic dissection 18 patients under deep hypothermic cardiopulmonary bypass from September 2008 to March 2012 in the application of the three-branch type aortic arch endovascular stent.Recorded age,sex,preoperative complication,with or without perfusion badness syndrome,cardiopulmonary bypass time and aortic cross-clamping time.Monitoring preoperative and postoperative blood gas analysis,chest X-ray,ventilator parameters,intraoperative and postoperative blood transfusion.The single factor analysis of the risk factors associated with postoperative ARD was analyzed.Results No patient died in peroperative period.Five patients (27.8％) was in perfusion badness syndrome preoperative,8 patients (44.4％) was in ARD postoperative.Three patients (16.7％) occurred within 72 h and 5 patients (27.8％) occurred within 48 h.Three patients (16.7％) performed incision of tracheal for the duration of mechanical ventilation for more than 7 d.Correlation factor analysis showed that BMI (P =0.047),cireulatory arrest time (P =0.035) had correlation with postoperative ARD.Conclusions ARD is a common complication during perioperative.It can be correctable by pay full attention to the risk factors,and the prognosis is good.
