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

Authors：

邱冬云 , 孙博 , 郭爱林 , 刘宏宇 ,  刘宗泓

哈尔滨医科大学附属第一临床医学院心脏大血管外科（哈尔滨 150010）;

Corresponding author：

刘宗泓, Email: liuzonghong@163.com

Keywords：

主动脉; 壁内血肿; 糖尿病; 夹层

DOI：

10.7507/1007-4848.201602026

Video：

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目的探讨糖尿病对主动脉壁内血肿的预后影响。方法纳入 2012 年 10 月至 2014 年 11 月我院连续 24 例主动脉壁内血肿患者，其中男 17 例、女 7 例，年龄（58.83±10.42）岁，定期复查主动脉 CTA（复查时间为 3～4 周），观察糖尿病患者和非糖尿病患者主动脉壁内血肿的进展情况。结果 24 例患者在复查时，出现 A 型主动脉夹层 2 例，B 型主动脉夹层 3 例（均为腹部局限性夹层）；4 例患者合并糖尿病，复查时 2 例进展为主动脉夹层，2 例血肿及溃疡加重。结论主动脉壁内血肿整体呈吸收趋势，无并发症发生。手术事件的发生率与患者合并糖尿病有密切关系。

Citation： 邱冬云, 孙博, 郭爱林, 刘宏宇, 刘宗泓. 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

1.	武红梅, 范振迁, 郑少雄. 高血糖的大血管病变. 中华糖尿病杂志, 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.	黄伟煌, 张丽菊, 井立鹏, 等. 2 型糖尿病大血管病变风险及其交互作用分析. 中华疾病控制杂志, 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.	王亚双, 吕肖锋, 彭勇, 等. 血糖波动与 2 型糖尿病大血管并发症. 新医学, 2015, 46(1): 7-10.0.
11.	肖正华, 古君, 胡佳, 等. 基于炎症反应变化程度的主动脉夹层病程分期的初步探讨. 中国胸心血管外科临床杂志, 2014, 21(6): 721-724.0.
12.	畅坚, 许樟荣, 王志强, 等. 糖尿病与非糖尿病患者外周动脉病变血管造影对比研究. 中华糖尿病杂志, 2004, 12(5): 324-327.0.
13.	穆珺, 庄小明, 吴小娟, 等. 铁代谢与糖尿病前期及其大血管病变的相关性.临床药物治疗杂志, 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 型主动脉壁间血肿的治疗. 中国胸心血管外科临床杂志, 2011, 18(4): 361.0.
16.	刘岚, 赵强, 王春生, 等. 糖尿病对冠状动脉旁路移植术患者术后疗效的影响.中国胸心血管外科临床杂志, 2005, 12(6): 386-389.0.

1. 武红梅, 范振迁, 郑少雄. 高血糖的大血管病变. 中华糖尿病杂志, 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. 黄伟煌, 张丽菊, 井立鹏, 等. 2 型糖尿病大血管病变风险及其交互作用分析. 中华疾病控制杂志, 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. 王亚双, 吕肖锋, 彭勇, 等. 血糖波动与 2 型糖尿病大血管并发症. 新医学, 2015, 46(1): 7-10.0.
11. 肖正华, 古君, 胡佳, 等. 基于炎症反应变化程度的主动脉夹层病程分期的初步探讨. 中国胸心血管外科临床杂志, 2014, 21(6): 721-724.0.
12. 畅坚, 许樟荣, 王志强, 等. 糖尿病与非糖尿病患者外周动脉病变血管造影对比研究. 中华糖尿病杂志, 2004, 12(5): 324-327.0.
13. 穆珺, 庄小明, 吴小娟, 等. 铁代谢与糖尿病前期及其大血管病变的相关性.临床药物治疗杂志, 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 型主动脉壁间血肿的治疗. 中国胸心血管外科临床杂志, 2011, 18(4): 361.0.
16. 刘岚, 赵强, 王春生, 等. 糖尿病对冠状动脉旁路移植术患者术后疗效的影响.中国胸心血管外科临床杂志, 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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