[Progress and challenge of Stanford type A aortic dissection in China].

In recent 20 years, the rapid development of acute Stanford type A aortic dissection in China has been mainly due to three aspects: (1) the refined classification of aortic dissection based on Stanford classification, (2) right axillary artery canal and selective cerebral perfusion technology become basic cardiopulmonary bypass strategy for Stanford type A aortic dissection, and (3) total aortic arch replacement and descending aortic stent graft surgery (Sun's surgery) become the standard treatment of Stanford type A aortic dissection. However, there are still many problems in the diagnosis and treatment of aortic dissection in China, such as: (1) unstandardized, lack of comprehensive guidelines of aortic dissection, (2) immature, perioperative organ protection and intraoperative blood protection technology remains a big flaw, and (3) it takes a long time to get patient prepared for surgery. In conclusion, as to the issue of the management of acute Stanford type A aortic dissection, there will be a long way for Chinese doctors to go. Peers should pay more attention to this problem and take more efforts, so that the outcome of acute Stanford type A aortic dissection surgical patients can be improved.近20多年来，我国急性Stanford A型主动脉夹层诊疗取得了飞速发展，主要得益于三方面的进步，分别是在Stanford分型的基础上提出了我国主动脉夹层的细化分型，右腋动脉插管心肺转流及选择性脑灌注技术成为Stanford A型主动脉夹层手术心肺转流基础策略，全主动脉弓替换及降主动脉支架象鼻人工血管置入术(孙氏手术)成为治疗Stanford A型主动脉夹层的标准术式。然而，我国主动脉夹层诊疗工作还存在诸多问题亟待解决，主要为"不规范""不成熟""不及时" ，即缺乏完整全面的、能够体现主动脉夹层诊疗特点的规范或指南，围手术期器官保护和术中血液保护技术仍有较大缺陷，患者从发病到手术所需时间较长。我国急性Stanford A型主动脉夹层的诊治任重道远，只有汇聚更多同仁的才智与力量，才能取得进一步的发展，让更多患者受益。.