62例主动脉夹层临床分析  

Clinical analysis of 62 cases with aortic dissection

作　　者：李东旺[1] 王波涛[1] 郑长春[2] 

机构地区：[1]河南省安阳钢铁集团公司总医院心内科,安阳455004 [2]安阳市第二人民医院心内科

出　　处：《中原医刊》2007年第21期29-30,共2页Central Plains Medical Journal

摘　　要：目的 分析主动脉夹层（AD）的主要患病危险因素、特征性临床表现及早期诊断与治疗。方法 收集2000年1月至2006年7月连续确诊的62例AD患者的临床资料,对其进行回顾性分析。结果 高血压占AD发病的74.2%,胸背腰腹部剧痛占AD的90.3%,超声、螺旋CT、MRI和血管造影诊断AD的敏感性分别为92.2%、94.4%、95%和88.9%。介入/外科治疗与内科保守治疗AD的预后相比差异有统计学意义（P〈0.01）。结论 AD的形成与高血压有明显相关性,注重临床表现,及时完善辅助检查,早期诊断AD并不困难,内科治疗基础上的介入或外科手术可改善AD患者的预后。Objective To analysis the risk factors clinical appearance early diagnosis and treatment of aortic dissection（AD）. Methods The clinical data of 62 AD patients admitted from the January,2000 to July, 2006 were retrospectively reviewed. Results Hypertension was 74.2% in AD,various pain was 90.3% ,the sensitive of echocardiography, CT, MRI and aortic graphy were 92.2% ,94.4% ,95% and 88.9%. There was a significant difference in the two groups： intervention/surgical treatment and medical treatment. Conclusion An obvious correlation exited between the occurrence of AD and hypertension. More attention should be paid to clinical appearance and examination methods. It is not a difficult thing to diagnose AD, intervention/surgical treatment seems better than medical treatment in AD patients.

关 键 词：主动脉夹层 高血压 诊断 治疗 

分 类 号：R54[医药卫生—心血管疾病]