| 引用本文: | | 季文杰,周 庆,王东进.[cn_title][J].[journal_cn_name],2017,[volume]([issue]):42-44.[点击复制] |
| | Ji Wenji,Zhou Qing,Wang Dongjin.[en_title][J].[journal_en_name],2017,[volume]([issue]):42-44.[点击复制] |
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| 摘要: |
| 我国主动脉夹层(Aortic Dissection,AoD)的发病率呈爆发性上升和年轻化趋势,AoD致死率极高,急性发病后每小时死亡率增加1%,对家庭､社会和国家造成沉重负担,已成为威胁我国人民群众健康的重要杀手｡对于AoD病人来说“时间就是生命”｡江苏省的AoD诊断水平取得了长足的进步,县级以上中心医院即可明确诊断｡但仅个别省级中心医院具有治疗的能力｡南京鼓楼医院心胸外科自2013年获批成立江苏省大血管疾病诊疗中心,重点攻关主动脉夹层疾病的诊治工作,并在国内率先提出六小时生命圈的概念｡经过不断实践,建立了一个全天候快速反应､有丰富AoD救治经验的规范化服务平台,针对接诊病人､诊断病人､转诊病人及治疗病人等环节制定了各类标准化流程,从而全面提高本省主动脉夹层的救治率,并为类似的危重急症疾病的分级诊疗提供了参考｡ |
| 关键词: 急救 主动脉夹层 分级诊疗 六小时生命圈 |
| DOI： |
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| 基金项目: |
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| Build Six Hours’ Aortic Dissection Life Circle of First Aid ,to Explore New Emergency and Severe Cases Disease Classification Diagnosis Patterns |
| Ji Wenji,Zhou Qing,Wang Dongjin |
| (Cardio-Thoracic Surgery Department of Affliated Drum Tower Hospital of Nanjing University Medical School,Jiangsu Large Vascular Disease Diagnosis and Treatment Center) |
| Abstract: |
| The prevalence of Aortic dissection(AoD)is reported elevated incidence ,younger in age and with highmortality in China. After sudden onset of AoD,the risk of rupture increased about 1% per hour. And AoD has become an deadly killer that threaten our health and could make great social and economic burden.“Time is life” is what really important for AoD patients. In our province,doctors in hospitals certificate above the county level can help to make clear diagnosis,however,there are very few hospitals have the ability to make integrated treatment. The Department of Cardio-Thoracic Surgery of Nanjing Drum Tower Hospital have received the approval to build up the Center of Aortic Diseases of Jiangsu Province since 2013. The aim of this center is to make immediate therapy for patients suffered from aortic dissection diseases,and put forward the concept of “Six hours’ life circle” in our country. Through constant practice, we have built up a standardized therapeutic platform for aortic disease patients with features as all-time,fast reaction and extensive experience. In order to increase the survival rate of patients,we have worked out a series of procedures of reception,diagnosis,referral and treatment,and the outcome could be an references of therapies of critical ill patients. |
| Key words: First-aid Aortic dissection Classification and Treatment Six Hours’ Life Circle |
