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护理查房-主动脉夹层（Nursingrounds
护理查房-主动脉夹层（Nursingrounds-aorticdissection）WangXiuyan,male,63yearsold,70kgascendingaorta,replaced+sun’s(aorticarchreplacement+stenttrunk)Complaints:Complaints20daysbeforetheactivityaftersuddenchestpainPresenthistory;patientsinthe20daysbeforethesuddenonsetofchestpain,sweating.Inthepasttwomonths,thepainincreased,thenumberofattacksincreased,theprivateprosecutionnonausea,vomiting,dizziness,headacheandothersymptoms.AntiHelicobacterpyloritherapyatlocalhospital.Nosignificantimprovement,andbackpain.Inordertoseekfurthertreatment,wewereadmittedtoourhospitalwithAtypeaorticdissection.Patientssincetheonsetofconsciousness,diet,sleepnormal,twonoabnormalities,physicaldecline,nosignificantchangesinweight.Pasthistory:ahistoryofhypertensionformorethan20years,thebloodpressureisabout135/85MMHG.Allergyhistory:NoneHistoryofinfection:NoneHistoryofsurgery:leftnephrectomy(leftrenalclearcellcarcinoma)wasperformedin2007Thepatientunderwentascendingaorticreplacement+sun’ssurgeryinDecember9thThinningandtypingof2dissectinganeurysmsStandford,Atype,sandwich,refinement,classification(root,saw,aorticroot,lesiontype)A1:aorticrootnormaltype(sinusjunctionanditsproximalnormaloronlyaorticvalvejunctionavulsion,noobviousaorticinsufficiency)A2:typemildaorticrootinvolvement(aorticsinusdiameter3.5cm,dissectionofrightcoronaryarteryleadstotheopeningpartorallofendometrialstrippingavulsion-ortwoaorticborderavulsionresultedinmildtomoderateaorticregurgitation.A3:severeaorticrootinvolvement(sinusdiametergreaterthan5cmor3.5-5cm,butdisruptionofsinusjunctionstructurewithsevereaorticvalveinsufficiency)AccordingtotheclassificationofaorticarchlesionsTypeC(complextype)meetsthefoll
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