以神经系统症状为主的主动脉夹层1例报告  

A case report of aortic dissection characterized by neural dysfunction and review the literature

作　　者：陈云[1] 李在望[1] 唐荣华[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院神经内科

出　　处：《中风与神经疾病杂志》2009年第4期479-480,共2页Journal of Apoplexy and Nervous Diseases

摘　　要：目的探讨主动脉夹层(aortic dissection,AD)合并神经系统损害的病因、临床表现,以提高对本病的认识。方法分析1例以神经系统损害为主的主动脉夹层患者的临床资料,并复习相关文献。结果主动脉夹层患者临床表现复杂多样,主要和高血压、妊娠、遗传等有关。结论对出现神经系统症状、肢体血压不对称者要考虑AD的可能,尽快行相关检查确诊,减少漏诊、误诊、误治。Objective In order to better understand the aortic dissection, we explored the etiopathogenisis and the clinical feature of aortic dissection characterized by neural dysfunction. Methods To analyze the clinical features of a case with characteristic of neural dysfunction and review the pertinent literature. Results The clinical feature of the aortic dissection is complicated and relate to hypertension,pregnancy, heredity,et al. Conclusion When a patient has syndrome of neural dysfunction with unequal blood-pressure of the bilateral limb,we should consider the probability of the aortic dissection and carry out the auxiliary examination to reduce misdiagnosis.

关 键 词：主动脉夹层 神经系统损害 

分 类 号：R747.9[医药卫生—神经病学与精神病学]