The influence of diabetes on aortic intramural hematoma recovery_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

邱冬云 , 孫博 , 郭愛林 , 劉宏宇 ,  劉宗泓

哈爾濱醫科大學附屬第一臨床醫學院心臟大血管外科（哈爾濱 150010）;

Corresponding?author：

劉宗泓, Email: liuzonghong@163.com

Keywords：

主動脈; 壁內血腫; 糖尿病; 夾層

DOI：

10.7507/1007-4848.201602026

Video：

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目的探討糖尿病對主動脈壁內血腫的預后影響。方法納入 2012 年 10 月至 2014 年 11 月我院連續 24 例主動脈壁內血腫患者，其中男 17 例、女 7 例，年齡（58.83±10.42）歲，定期復查主動脈 CTA（復查時間為 3～4 周），觀察糖尿病患者和非糖尿病患者主動脈壁內血腫的進展情況。結果 24 例患者在復查時，出現 A 型主動脈夾層 2 例，B 型主動脈夾層 3 例（均為腹部局限性夾層）；4 例患者合并糖尿病，復查時 2 例進展為主動脈夾層，2 例血腫及潰瘍加重。結論主動脈壁內血腫整體呈吸收趨勢，無并發癥發生。手術事件的發生率與患者合并糖尿病有密切關系。

Citation： 邱冬云, 孫博, 郭愛林, 劉宏宇, 劉宗泓. The influence of diabetes on aortic intramural hematoma recovery. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2017, 24(10): 815-817. doi: 10.7507/1007-4848.201602026 Copy

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2.	Grundy SM, Benjamin IJ, Burke GL, et al. Diabets and cardiovascular disease: a statement for health care professionals from the American Heart Association. Circulation, 1999, 100(10): 1134-1146.
3.	Evangelista A, Dominguez R, Soler-Soler J. Prognostic value of clinical and morphologic findings in short-term evolution of aortic intramural hematoma: therapeutic implications. Eur Heart J, 2004, 90: 379-380.
4.	黃偉煌, 張麗菊, 井立鵬, 等. 2 型糖尿病大血管病變風險及其交互作用分析. 中華疾病控制雜志, 2015, 19(1): 13-19.0.
5.	Song JM, Kim HS, Song JK, et al. Usefulness of the initial noninvasive imaging study to predict the adverse outcomes in the medical treatment of acute type A aortic intramural hematoma. Circulation, 2003, 108(Suppl 1): Ⅱ324-Ⅱ328.
6.	Kruse MJ, Johnson PT, Fishman EK, et al. Aortic intramural hematoma: review of high-risk imaging features. J Cardiovssc Comput Tomogr, 2013, 7(4): 267-272.
7.	Hoey ET, Wai D, Ganeshan A, et al. Aortic intramural haematoma: pathogenesis, clinical features and imaging evaluation. Postgrad Med J, 2012, 88(1045): 661-667.
8.	Chiu KW, Lakshminarayan R, Ettles DF. Acute aortic syndrome: CT findings. Clin Radiol, 2013, 68(7): 741-748.
9.	Song JK. Aortic intramural hematoma:aspects of pathogenesis 2011. Herz, 2011, 36(6): 488-497.
10.	王亞雙, 呂肖鋒, 彭勇, 等. 血糖波動與 2 型糖尿病大血管并發癥. 新醫學, 2015, 46(1): 7-10.0.
11.	肖正華, 古君, 胡佳, 等. 基于炎癥反應變化程度的主動脈夾層病程分期的初步探討. 中國胸心血管外科臨床雜志, 2014, 21(6): 721-724.0.
12.	暢堅, 許樟榮, 王志強, 等. 糖尿病與非糖尿病患者外周動脈病變血管造影對比研究. 中華糖尿病雜志, 2004, 12(5): 324-327.0.
13.	穆珺, 莊小明, 吳小娟, 等. 鐵代謝與糖尿病前期及其大血管病變的相關性.臨床藥物治療雜志, 2013, 11(4): 19-22.0.
14.	Yang WY, Lu J, Wang J, et al. Prevalence of diabetes among men and women in China. N Engl J Med, 2010, 362(12): 1090-1101.
15.	何庚戌, 周峰, 濮仁富, 等. Stanford B 型主動脈壁間血腫的治療. 中國胸心血管外科臨床雜志, 2011, 18(4): 361.0.
16.	劉嵐, 趙強, 王春生, 等. 糖尿病對冠狀動脈旁路移植術患者術后療效的影響.中國胸心血管外科臨床雜志, 2005, 12(6): 386-389.0.

1. 武紅梅, 范振遷, 鄭少雄. 高血糖的大血管病變. 中華糖尿病雜志, 2014, 6(11): 788-791.0.
2. Grundy SM, Benjamin IJ, Burke GL, et al. Diabets and cardiovascular disease: a statement for health care professionals from the American Heart Association. Circulation, 1999, 100(10): 1134-1146.
3. Evangelista A, Dominguez R, Soler-Soler J. Prognostic value of clinical and morphologic findings in short-term evolution of aortic intramural hematoma: therapeutic implications. Eur Heart J, 2004, 90: 379-380.
4. 黃偉煌, 張麗菊, 井立鵬, 等. 2 型糖尿病大血管病變風險及其交互作用分析. 中華疾病控制雜志, 2015, 19(1): 13-19.0.
5. Song JM, Kim HS, Song JK, et al. Usefulness of the initial noninvasive imaging study to predict the adverse outcomes in the medical treatment of acute type A aortic intramural hematoma. Circulation, 2003, 108(Suppl 1): Ⅱ324-Ⅱ328.
6. Kruse MJ, Johnson PT, Fishman EK, et al. Aortic intramural hematoma: review of high-risk imaging features. J Cardiovssc Comput Tomogr, 2013, 7(4): 267-272.
7. Hoey ET, Wai D, Ganeshan A, et al. Aortic intramural haematoma: pathogenesis, clinical features and imaging evaluation. Postgrad Med J, 2012, 88(1045): 661-667.
8. Chiu KW, Lakshminarayan R, Ettles DF. Acute aortic syndrome: CT findings. Clin Radiol, 2013, 68(7): 741-748.
9. Song JK. Aortic intramural hematoma:aspects of pathogenesis 2011. Herz, 2011, 36(6): 488-497.
10. 王亞雙, 呂肖鋒, 彭勇, 等. 血糖波動與 2 型糖尿病大血管并發癥. 新醫學, 2015, 46(1): 7-10.0.
11. 肖正華, 古君, 胡佳, 等. 基于炎癥反應變化程度的主動脈夾層病程分期的初步探討. 中國胸心血管外科臨床雜志, 2014, 21(6): 721-724.0.
12. 暢堅, 許樟榮, 王志強, 等. 糖尿病與非糖尿病患者外周動脈病變血管造影對比研究. 中華糖尿病雜志, 2004, 12(5): 324-327.0.
13. 穆珺, 莊小明, 吳小娟, 等. 鐵代謝與糖尿病前期及其大血管病變的相關性.臨床藥物治療雜志, 2013, 11(4): 19-22.0.
14. Yang WY, Lu J, Wang J, et al. Prevalence of diabetes among men and women in China. N Engl J Med, 2010, 362(12): 1090-1101.
15. 何庚戌, 周峰, 濮仁富, 等. Stanford B 型主動脈壁間血腫的治療. 中國胸心血管外科臨床雜志, 2011, 18(4): 361.0.
16. 劉嵐, 趙強, 王春生, 等. 糖尿病對冠狀動脈旁路移植術患者術后療效的影響.中國胸心血管外科臨床雜志, 2005, 12(6): 386-389.0.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

The influence of diabetes on aortic intramural hematoma recovery

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