主动脉夹层动脉瘤猝死患者的临床与尸检病理分析  

Pathological and Clinical Analysis of Aortic Dissecting Aneurysm

作　　者：曹素艳[1] 毛利民[2] 杨杰孚[2] 马正中[3] 

机构地区：[1]卫生部北京医院急诊科,100730 [2]卫生部北京医院内科 [3]卫生部北京医院病理科

出　　处：《中华临床医学杂志》2006年第3期25-27,共3页Chinese Journal of Clinical Practical Medicine

摘　　要：目的 探讨主动脉夹层动脉瘤患者猝死的原因、临床特点、病理基础，从而早期诊断，有效防治。方法 回顾性分析我院13例主动脉夹层动脉瘤猝死患者的临床尸检病理资料。结果 13例中，老年人11例。Ⅰ型1例；Ⅱ型6例；Ⅲa型和Ⅲb型各3例。死亡原因：急性心包填塞8例，以Ⅰ型和Ⅱ型多见；休克4例；1例引起反射性心跳骤停。结论 主动脉夹层动脉瘤起病隐匿，但其动脉夹层一旦破裂或撕裂，则发病急骤，常导致严重后果。尽早防治动脉粥样硬化，有效控制高血压是预防夹层动脉瘤的根本措施。对于老年人，应定期查体，防治急性事件发生，降低病死率。Objective To investigate the clinical leatures, the pathological bases and the causes of sudden death in patients with aortic dissecting aneurysm. To diagnose early and to provide the preventive treatmen. Methods Retrospectively analyzed the clinical and pathological material of 13 cases sudden death with aortic dissecting aneurysm in our hospital. Results In 13 cases, there are 11 the elderly patients sudden died of aortic dissecting aneurysm. Of which, Ⅰ type 1 case, Ⅱ type 6 cases,Ⅲa type 3cases and Ⅲb type 3 cases was found. The causes of sudden death ： acute cardiac tamponade 8 cases, shock 4 cases, and cardiac rest reflexible 1 case. Conclusion Aortic dissecting aneurysm come on hiding as a rule. It was urgent and dangerous as soon as ruptured aortic interlamellar aneurysm, and then result in sudden death. The foundation measure of the prevention is preventing and treating atherosclerosis and hypertension as possible as early. Check-up termly was necessary for the elderly men, in order to effective preventing severe event and reducing morbidity.

关 键 词：主动脉夹层动脉瘤 猝死 高血压 尸检病理 

分 类 号：R543.16[医药卫生—心血管疾病] R541[医药卫生—内科学]