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目的:探讨妊娠并发主动脉夹层的早期诊断与治疗方法。方法:报道双胎妊娠合并Stanford B主动脉夹层1例,并收集复习相关文献,总结该病的临床表现、诊断及治疗方法。结果:通过临床常规诊断,明确诊断,稳住生命体征,在复合手术室进行多科会诊,根据病情选择最佳治疗方案,并在术后严密监控患者病情变化,防止并发症的发生,有效地挽救了患者生命。结论:妊娠合并主动脉夹层起病凶险,进展迅速,及时明确诊断、多科会诊、严密监护、根据母婴情况在符合手术室选择合适的联合治疗方法是挽救患者及胎儿生命的关键。
Objective: To explore the early diagnosis and treatment of pregnancy complicated with aortic dissection. Methods: One case of twin pregnancy with Stanford B aortic dissection was reported. Relevant literatures were collected and the clinical manifestations, diagnosis and treatment of the disease were summarized. Results: Through clinical routine diagnosis, definite diagnosis, stabilization of vital signs, multi-department consultation in compound operating room, selecting the best treatment plan according to the condition, and closely monitoring the patient’s condition change after operation to prevent the occurrence of complications effectively Saved the patient’s life Conclusions: The incidence of pregnancy complicated with aortic dissection is dangerous, the progress is rapid, timely diagnosis, multidisciplinary consultation, intensive care, according to the mother and child in the operating room to choose the appropriate combination of treatment is the key to saving the lives of patients and fetuses.