主动脉夹层50例临床分析  

The clinical analysis of Aortic dissection 50 cases

作　　者：陈大鹏[1] 王波[2] 白如冰[1] 马克云 黎萍[1] 袁萍[1] 邱雪荣[1] 

机构地区：[1]宁夏医学院附属医院,宁夏银川750004 [2]宁夏银川市第一人民医院,宁夏银川750001 [3]宁夏吴忠市医院,宁夏银川751100

出　　处：《宁夏医学杂志》2004年第8期484-485,共2页Ningxia Medical Journal

摘　　要：目的　探讨主动脉夹层 (AD)的临床表现 ,以便早期诊断和治疗 ,降低死亡率。方法　对 5 0例AD患者的临床表现、影像学检查、治疗经过及死亡原因进行回顾性分析。结果　 5 0例行心脏超声检查 ,确诊者 4 3例(90 % ) ;2 1例行CT检查 ,2 1例诊断为主动脉夹层 (10 0 % ) ;行磁共振显像 (MRI) 2 7例 ,均确诊为主动脉夹层 (10 0 % )。经治疗好转出院 4 2例 (84 % ) ,1例并发脑梗死且留有一侧肢体活动障碍后遗症。 7例死亡 (占 14 % )。结论　早期诊断 ,有效治疗是降低死亡率的关键 ,CT。Objective Explore the clinical symptom of Aortic Dissection for early diagnosis and cure, decrease the death rate. MethodsReviewable research the clinical symptom,image cheak,cure process and death reason.Results The accuracy of UCG,CT,MRI for diagnosis for AD were 90%,100%,100% respectively.42 cases(84%) were cured and 7 cases(14%) were dead in 50 cases.Conclusion Early diagnosis and effective cure are the key of reduction death rate, CT and MRI are the first selection in diagnosis of AD.

关 键 词：主动脉夹层 心脏 超声检查 

分 类 号：R543[医药卫生—心血管疾病]