主动脉夹层急诊诊治体会(附11例临床分析)  

Emergency diagnosis and treatment of 11 patients with acute aortic dissection

作　　者：张剑[1] 宋先舟[1] 白祥军[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院创伤外科,武汉430030

出　　处：《临床急诊杂志》2011年第5期321-322,共2页Journal of Clinical Emergency

摘　　要：目的:分析主动脉夹层(AD)的临床特征及诱因,提高急诊确诊率。方法:回顾性分析我院2010年1月-2010年6月AD患者的临床资料。结果:11例AD患者中10例首发症状为疼痛,疼痛部位以胸、腹部为主,并发高血压病史者较多;误诊疾病复杂多样,以急腹症居多,首诊误诊率54.5%;治疗上以内科保守治疗为主。结论:AD首发症状主要为剧烈胸腹疼痛,病死率高,早期及时确诊,降低血压、心率可显著降低病死率。Objective：To improve the diagnosis of emergency aortic dissection（AD） through analyzing the clinical characteristics and incentives of AD patients.Method：The clinical data of 11 AD patients admitted in our hospital from January 2010 to June 2010 were analyzed retrospectively.Result：In all 11 cases,the initial symptom of 10 patients was pain and the pain sites were mainly located in the chest and abdomen.Most patients had hypertension history.The most misdiagnosed disease was acute abdomen,and the rate of misdiagnosis was 54.5%.Conservative medical therapy was the main treatment.Conclusion：The early symptoms of AD mainly include severe chest pain or abdominal pain,and eventually result to high mortality.Early and timely diagnosis,blood pressure and heart rate control can significantly reduce the mortality.

关 键 词：主动脉夹层 诊断 治疗 

分 类 号：R543.1[医药卫生—心血管疾病]