主动脉夹层分离30例临床分析  

Inquisition method to eradication therapy the Helicobacter pylori and promote reversion of chronic atiophy gastritis with dysplasia

作　　者：张莉玲 王永东 俞欣 施海滨 

机构地区：[1]韶关市第一人民医院,512000

出　　处：《中国医药导报》2005年第11期37-38,共2页China Medical Herald

摘　　要：目的分析主动脉夹层(aortic dissection,AD)的临床特征,以提高对AD的诊治水平。方法对1995-2004年经临床诊断证实的30例AD患者的临床资料进行回顾性分析,并根据发病年限分为2组,比较两组的诊断时间及预后。结果AD病变范围大。以多部位的剧烈疼痛为首发症状26例,发病时血压升高23例,主动脉瓣区新出现的舒张期杂音7例,腹部血管杂音5例,29例经CT或磁共振确诊。第2组的24、72小时确诊率分别为38%、50%,与第1组的7%、1 4%比较有统计学差异(P<0.05)。结论AD确诊应依靠CT或磁共振,碰共振优于CT。镇静、止痛、控制血压、心率、抑制心肌收缩力是治疗的关键,手术治疗可降低病死率。Objective The clinical features of Aortic dissecting(AD) were analyzed for the purpose of prompting and improving the practical diagnosis and treatment of AD. Methods The clinical features of 30 cases of clinically confirmed aortic dissecting were analyzed, and the patients were divided into two groups up the fixed number of year that AD happened to a patient. Results The pathological range of AD varied greatly . Multi-position severe ache was found in 26 cases as initial symptom. Blood pressure rose in 23 cases. New diastolic murmur in aortic area was found in 7 cases. Abdominal vascular murmur was found in 5 cases. 29 cases were diagnosed by CT scanning or MRI scanning, and 1 by autopsy. Confirmed diagnosis rate in 24 hours and 72 hours improved significantly (p<0.05). Conclusions Confirmed diagnosis is largely dependent on CT scanning or MEI scanning which is superior to the former. Sedation, alleviating ache, controlling blood pressure and heart rate, inhibit cardiac contractility are the keys of treatment. Surgical therapy can bring down the case fatality rate.

关 键 词：主动脉夹层分离 疼痛 高血压 预后 

分 类 号：R[医药卫生]