主动脉夹层48例临床分析  

The clinical analysis in 48 cases of aortic dissection

作　　者：何宗云[1] 吴焱贤[1] 李崇虹[1] 

机构地区：[1]佛山市顺德区第一人民医院心内科,广东省佛山528300

出　　处：《中国基层医药》2008年第1期70-71,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨主动脉夹层（AD）的早期诊断及内科治疗。方法分析总结了1992年至2006年某院48例确诊AD患者的临床资料，分析其临床特点，评价诊断方法及治疗效果。结果48例患者临床表现多样，胸痛为最常见的症状，高血压是导致AD的主要原因，心电图（ECG）对AD无诊断价值，CT、MRI及动脉造影诊断符合率100％，有助于快速诊断和定位，镇静、止痛、积极降压治疗是最主要的内科治疗方法。结论CT及MRI对AD具有早期诊断价值，对AD患者，目标血压降至100～110／60～70mmHg可显著提高患者生存率。Objective To evaluate the early diagnosis and physical therapy of aortic diseases（AD）. Methods The clinical characterization of 48 cases at AD hospitalized in our hospital in 14 years were analyzed. The effect of physical therapy were evaluated. Results The symptoms and physical signs in 48 AD patients were diverse, chest pain was the most commonest symptom, hypertension was the most important cause of AD. ECG has no diagnostic value, the diagnostic sensitivity of CT, magnetic resonance imaging（MRI） and angiography were 100 %. Combined of CT and MRI could help to make the rapid diagnosis, the most important method in physical therapy was sedative, anagestic and actively controlled blood pressure. Conclusion CT and MRI have early diagnostic value, the ideally controlled blood pressure were 100- 110/60- 70mmHg, expedient confirmatory diagnosis and promt therapy are crucial in achieving a successful outcome.

关 键 词：主动脉疾病 诊断 治疗 

分 类 号：R543.1[医药卫生—心血管疾病] R587.104[医药卫生—内科学]