【摘要】 急性Stanford A型主动脉夹层是心脏大血管外科最为常见的急危重症之一，具有起病急骤、发病迅速、并发症多等特点。部分急性Stanford A型主动脉夹层患者术后短期内难以拔除气管插管，这会严重影响预后。本文回顾了急性Stanford A型主动脉夹层患者术后机械通气时间延长的定义和相关机制，分析了急性Stanford A型主动脉夹层患者术后机械通气时间延长的相关危险因素，旨在帮助医护工作者早期识别术后机械通气时间延长高风险的急性Stanford A型主动脉夹层患者，从而制定有效干预措施，改善患者预后。更多还原

【Abstract】 Stanford type A aortic dissection is one of the most common emergencies in cardiac macrovascular surgery,which is characterized by acute onset,rapid morbidity and many complications.Some Stanford type A aortic dissection patients have difficulty in removing the endotracheal tube in the short term after surgery,which seriously affects the prognosis.This article reviews the definition and related mechanisms of prolonged postoperative mechanical ventilation time in patients with Stanford type A aortic dissection,analyzes the related risk factors of prolonged postoperative mechanical ventilation time in patients with Stanford type A aortic dissection,with the aim of helping healthcare workers to identify the Stanford type A aortic dissection patients with high risk of prolonged postoperative mechanical ventilation time at an early stage,and then formulate effective interventions and improve patients’ prognosis.更多还原