急性主动脉夹层19例临床分析  

Acute aorta band 19 examples clinical analyses

作　　者：冯广智 徐曙东 丁国斌 耿宝玉 陈宇清 Feng Guangzhi, Xu Shudong, Ding Guobin, Geng Baoyu, Chen Yuqing

机构地区：江苏省泰兴市人民医院心内科,225400

出　　处：《中外健康文摘：临床医师》2007年第9期19-21,共3页

摘　　要：目的：主动脉夹层是极为严重的心血管急症,误诊率及病死率高,提高早期确诊率对患者生存率影响大。方法：对我院1998年以来19例主动脉夹层患者的临床资料进行分析。结果：19例中仅6例首诊考虑该病,误诊率为68.4%,误诊为心绞痛5例,急性心肌梗死2例,急腹症2例,泌尿系结石2例,神经系统疾病2例。结论：主动脉夹层误诊率高,预后差。提高对该病的认识水平,加强诊断学基本功训练是减少误诊的关键。Objective：The aorta band is the extremely serious cardiovascular acute disease, misdiagnosing rate and the case fatality rate is high, enhances early diagnosis rate to affect in a big way to the patient survival rate. Method： 1998 19 examples aortas band patient＇s clinical material has carried on the analysis since to my courtyard. Finally： In 19 examples only 6 examples examine considered this sickness, misdiagnosing rate is 68.4%, misdiagnoses for the angina pectoris 5 examples, the acute cardiac arrest 2 exampies, the acute abdominal pains 2 examples, the uropoiesis is the stone 2 examples, the nervous system disease 2 examples. Conclusion： Aorta band misdiagnosing rate is high, after pre-misses. Enhances to the level of understanding which should get sick, strengthens the diagnostics basic skills training is the key which the reduction misdiagnoses.

关 键 词：主动脉夹层 分析 

分 类 号：R54[医药卫生—心血管疾病;医药卫生—临床医学;医药卫生—内科学]