相关实验视频
Updated: Mar 3, 2026

06:26
Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
1.1K
20年来瑞典胸前大动脉开放手术的时间趋势:一项基于全国登记册的全国性研究
Jenny Backes1,2, Nadia Sandström1,2, Maja Eriksson Östman1,3
1School of Medical Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
The Lancet regional health. Europe
|March 2, 2026
概括
在瑞典,2001年至2020年间,胸前大动脉开放手术发生率增加了一倍以上. 在此期间,上升大动脉动脉瘤和剖析患者的生存率显著改善.
科学领域:
- 心血管外科心血管外科
- 胸部外科手术 胸部外科手术
- 大动脉外科手术
背景情况:
- 有限的当代基于人口的数据,关于胸前大动脉开放手术发生率和早期并发症的时间趋势.
- 需要对上升大动脉动脉瘤和剖析的手术结果进行更新的洞察.
研究的目的:
- 评估瑞典胸前大动脉开放手术发生率的时间趋势.
- 评估这些手术后早期术后并发症,特别是死亡率和中风的趋势.
主要方法:
- 在瑞典 (2001-2020年) 进行全国性,基于人口的观察性队列研究.
- 包括所有开放的胸前大动脉手术,用于上升大动脉动脉瘤或剖析.
- 数据来源于SWEDEHEART,国家患者登记处和国家死亡原因登记处.
主要成果:
- 开放胸前大动脉手术的每年发病率从每百万人口中的26.7个增加到每百万人口中的64.0个 (p<0.001).
- 粗略的30天死亡率为动脉瘤的2.4%,剖析的14.6%.
- 经过调整后的30天死亡风险在动脉瘤 (aOR 0.33) 和剖析 (aOR 0.40) 手术中随着时间的推移显著降低. 脑卒中风险在动脉瘤方面有下降的趋势,但在剖析方面没有.
结论:
- 在瑞典,由于上升性大动脉动脉瘤和剖析而进行开放胸前大动脉手术的发生率在过去二十年中翻了一番.
- 在对动脉瘤和剖析进行开放胸前大动脉手术后的生存率在研究期间显著改善.
关键词:
大动脉动脉瘤是一个大动脉动脉瘤.动脉剖析是一个大动脉剖析.全国范围的注册登记.基于人口的研究.术后死亡率 术后死亡率一次性中风,中风.瑞典 瑞典 瑞典 瑞典时间趋势 时间趋势胸前大动脉外科手术更多相关视频
相关概念视频
Aneurysm II: Clinical Manifestations and Diagnostic Studies
444
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
444
Aneurysm IV: Nursing Management
545
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
545
Thoracic Aorta
2.0K
The thoracic section of the aorta begins at the T5 vertebra and extends to the T12 level at the diaphragm, initially progressing through the mediastinum to the left of the spinal column. Throughout its course in the thoracic segment, the thoracic aorta emits various offshoots known collectively as visceral and parietal branches. The branches that predominantly supply blood to visceral organs are termed visceral branches and include bronchial, pericardial, esophageal, and mediastinal arteries,...
2.0K
Aneurysm III: Interprofessional Care
405
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
405

