When does dissection aneurysm need to do an operation?

summary

Now there are many people suffering from dissecting aneurysm, dissecting aneurysm (aortic dissection, aneurysmal hematoma) is usually a fatal disease, it is easy to take people's lives. When the outer layer of the aorta is still intact, the blood will tear away from the middle layer of the aorta and form a new channel in the aortic wall. This situation is extremely dangerous. Patients with dissecting aneurysms should be admitted to the intensive care unit immediately, so that medical staff can closely monitor the vital signs of patients with dissecting aneurysms, that is, the patient's pulse, blood pressure and respiratory rate. At this point, the patient may die within a few hours. Therefore, the disease should be treated in time. Can use operation to treat like, that dissection aneurysm needs to do an operation under what circumstance? Now let's talk about it.

When does dissection aneurysm need to do an operation?

First: people with this disease may die within a few hours of onset. Therefore, when patients have this situation, doctors should take medicine as soon as possible to reduce heart rate and blood pressure to the lowest level that can maintain the blood supply of important organs (heart, brain and kidney). After using drugs, we should see the specific situation of patients, and decide as soon as possible whether to use surgery or continue to use drugs.

Second: unless the complications of dissecting aneurysm greatly increase the risk of surgery, or the condition has been close to the aortic proximal end of a few centimeters in patients with dissecting aneurysm should be treated with surgery. For patients with dissecting aneurysms which are not so serious and far from the centrifugal end, they can continue to use drug treatment, except for patients with dissecting aneurysms causing arterial blood leakage or Marfan syndrome. Once these two situations occur, surgical treatment must be carried out.

Third: up to now, there are no effective drugs for the treatment of dissecting aneurysms, and surgery is the only effective way to prevent the rupture of dissecting aneurysms. In the 1990s, a foreign doctor created a minimally invasive treatment technology for aneurysms, endovascular exclusion, which has developed rapidly in western developed countries. Nearly 200 years ago, China has successfully implemented this technology and treated a large number of patients.

matters needing attention

Endovascular exclusion is a kind of "minimally invasive" surgery, which can be completed through small incision and fluoroscopy. There is no need to open the chest and abdomen. The operation wound is small, the operation time is short, and the amount of blood transfusion is greatly reduced. Moreover, the recovery of "minimally invasive" surgery is very fast. Many people can eat in the evening after the operation and get out of bed the next day The mortality rate has decreased a lot.