【摘要】 Stanford A型主动脉夹层作为心血管外科领域最具挑战性的急症，以起病急、进展快、并发症多等特点备受临床关注。部分Stanford A型主动脉夹层患者术后出现肝功能不全，导致延长住院时间，增加住院成本以及预后不良。现综述Stanford A型主动脉夹层患者术后肝功能不全的临床诊断方法和病理生理机制，并对其相关危险因素进行分析，旨在早期识别Stanford A型主动脉夹层术后肝功能不全的高风险患者，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, as one of the most challenging emergencies in the field of cardiovascular surgery, is characterized by acute onset, rapid progression, and numerous complications, attracting significant clinical attention.Some Stanford type A aortic dissection patients experience postoperative hepatic dysfunction, which leads to prolonged hospital stays, increased hospitalization costs and poor prognosis.This article reviews the clinical diagnosis and pathophysiological mechanisms of postoperative hepatic insufficiency in patients with Stanford type A aortic dissection and analyzes the associated risk factors, aiming to identify patients with Stanford type A aortic dissection at high risk of postoperative hepatic insufficiency at an early stage, so as to formulate effective interventions to improve the prognosis of patients.更多还原