Objective To investigate the short and medium term results of Castor single branched stent combined with parallel stent technique in the reconstruction of two supra-aortic branches in total endovascular repair of aortic arch lesions. Methods The patients with aortic arch disease who were treated with single-branch stents combined with parallel stents for Z1 anchoring and total endovascular repair from April 2022 to August 2022 in the Department of Cardiovascular Surgery of the First Affiliated Hospital of University of Science and Technology of China were retrospectively included, and the perioperative and follow-up data of the patients were analyzed. ResultsThere were 4 males and 1 female with an average age of (46.2±18.6) years. This study included 1 patient of aortic arch aneurysm and 4 patients of acute non-A non-B aortic dissection. The success rate of surgical technique was 100.0%. The operative time was (132.3±45.1) min, the immediate postoperative isolation of lesions was satisfactory, and there were no adverse events and death in perioperative period. The follow-up time was 12-15 months. During the follow-up period, all patients survived without stent displacement, type Ⅰa endoleak, parallel stent stenosis and occlusion, or re-operation. Conclusion The short and medium term results of single branched stents combined with parallel stents in total endovascular repair of aortic arch diseases requiring Z1 anchoring is satisfactory.
目的 了解医院科研人员幸福感程度及其影响因素。 方法 2013年3月采用幸福感指数问卷对某三级甲等医院的280名医护科研人员进行问卷调查，然后按照性别、专业、职称进行分组比较。 结果 医院科研人员幸福感和生活满意度在性别分组上差异无统计学意义（P＞0.05），护士与医生在幸福感（t=3.273，P=0.001）与生活满意度（t=2.745，P=0.000）差异有统计学意义；初级、中级、高级职称在幸福感（F=7.480，P=0.000）与生活满意度（F=6.350，P=0.014）差异有统计学意义。 结论 护士、初、中级职称人员生活压力更大，幸福感不足，是医院管理需要重点关注的群体。