急性主动脉夹层16例临床特点及早期诊断的探讨  

The Clinical Characters of 16 Cases of Acute Aortic Dissection and Its Early Diagnosis

作　　者：周维东[1] 

机构地区：[1]睢宁县人民医院心内科,江苏睢宁221200

出　　处：《实用临床医学（江西）》2009年第11期13-15,共3页Practical Clinical Medicine

摘　　要：目的探讨急性主动脉夹层(AD)患者的易患因素、临床特点及诊断方法,以期提高该疾病的早期诊断水平。方法收集16例急性AD患者的临床资料,对其临床特点、辅助检查资料进行回顾性分析。结果AD患者临床表现多样,胸痛为常见首发症状,高血压是导致AD发生的常见原因。联合应用超声心动图(TTE)、CT和MRI 3种检查方法可以快速明确诊断。结论AD临床表现复杂,掌握其临床特征、保持高度的警惕并及时采取相关的检查是早期发现AD的关键。Objective To investigate the risk factors, clinical characters and diagnostic test of acute aortic dissection（AD） for elevating the early diagnostic level. Methods The clinical data of 16 cases of acute AD were analyzed retrospectively. Results Aortic dissection presented with a variety of clinical manifestations and chest pain was the most common initial symptom. Hypertension was the most potential cause of AD. The combination use of echocardiography（TTE）,CT and MRI may help to make rapid diagnosis. Conclusion The symptoms and physical signs of acute AD are complex. Key in the early diagnosis of acute AD is to recognize its clinical characteristics,maintain a high level of suspicion, as well as chose appropriate diagnostic tests.

关 键 词：主动脉夹层 高血压 临床特征 诊断 

分 类 号：R543.1[医药卫生—心血管疾病]