主動脈剝離

Standford如何分類主動脈剝離?

Standford如何分類主動脈剝離?又該如何治療呢?
※ Stanford classificationType A：in which the dissection involves the ascending aorta 〈proximal dissection）􀂄􀂄 · Type I：in which an intimal tear occurs in the ascending aorta but which involves the descending aorta as well 􀂄􀂄 · Type II：in which the dissection is limited to the ascending aorta Type B：in which it is limited to the descending arota （distal dissection）􀂄􀂄 · Type III：in which the intimal tear is located in the descending area with distal propagation of the dissection 參考資料 恩.
剝離性(夾層性)主動脈瘤分類：DeBakey’s classification－－根據剝離的部位及程度分為三型~ type I：由升主動脈開始剝離

一直延伸至腹主動脈；type II：亦由升主動脈開始剝離

但止於主動脈弓；type III：由鎖骨下動脈後開始沿及整個降主動脈

甚至擴及腹部。

Miller’s(Stanford) classification：因DeBakey’s type I與type II之外科處置方式相同

故將分類簡化為A、B兩型。

type A：所有近端處的主動脈剝離

包含逆行性剝離至升主動脈( type I II ±III)

建議應採外科手術治療；type B：遠端處的主動脈剝離

建議先採內科保守療法。

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主動脈剝離
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