主动脉夹层分离的诊断和治疗(附62例分析)  

Diagnosis and Treatment of Aortic Dissection Disorders (Analysis of 62 cases)

作　　者：张新民[1] 胡丽霞[1] 倪幼方[1] 茅睿睿 

机构地区：[1]上海市胸科医院心内科,200030

出　　处：《江苏医药》1994年第10期530-532,共3页Jiangsu Medical Journal

摘　　要：62例主动脉夹层分离的临床资料分析示，马凡氏综合征是主要发病因素，其次为高血压。其中Ⅰ、Ⅱ型病情凶险，常伴严重并发症。本病易漏诊与误诊，误诊率高达40．3％。心动超声、CT、MRI和主动脉逆行造影（包括DSA）对本病的敏感性分别为92．5％，75％，100％．本病经合理用药与手术，可显著降低病死率。This paper analysed the clinical data of 62 cases of aortic dissection disorders. The results indicated that a variety of disorders would be predisposed to aortic dissection. The most important one is the Marfan's syn drome and the other is systomic hypertension notably in Cbinese. Debakey's classification type Ⅰ, Ⅱ are usually severe, often with critical complications. Various imaging techniques have been used to detect aortic dissection The sensitivity of echocardiography was 92. 5 %, computed tomography (CT) was 75%, magnetic resonance imaging (MRI) was 100%, aortic angiography (including digital subtraction angiography, DSA) was 100%. Reason able medical therapy and surgical management may lower mortality for 11. 3% in our experience.

关 键 词：主动脉夹层分离 影像学诊断 凡氏综合征 治疗 

分 类 号：R543.1[医药卫生—心血管疾病]