511例主动脉夹层临床分析  

The clinical analysis of 511 cases with aortic dissection

作　　者：陈娟[1] 周颜慧[1] 肖志超[1] 马业新[1] 曾和松[1] 郭小梅[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院心内科 ,武汉430030

出　　处：《临床内科杂志》2012年第7期455-457,共3页Journal of Clinical Internal Medicine

摘　　要：目的探讨主动脉夹层的诊断及治疗体会。方法对2000年10月～2010年10月在我院确诊为主动脉夹层的511例患者的临床资料进行回顾性分析总结。结果511例主动脉夹层患者临床表现呈现多样化，上胸部沿主动脉方向转移性疼痛为主要症状，其次为胸痛、腹痛、背痛。部分患者以胸闷、晕厥、呕吐、呼吸困难等为首发表现。血压增高及主动脉瓣区杂音是常见体征。药物、外科手术及介入治疗3种治疗措施的效果有显著性差异（P〈0．05）。结论主动脉夹层是心血管危急重症，其发病与年龄、性别、高血压病史具有明显相关性。在药物治疗基础上，A型夹层应积极采用外科手术治疗，B型夹层则首选血管内支架介入治疗。Objective To explore the examination methods,prognosis and therapies of aortic dis- section （AD）. Methods The clinical data of 511 AD patients admitted from the October 2000 to October 2010 were reviewed retrospectively. Results The symptoms and physical signs of the 511 AD patients were diverse. The chest transitive pain was a common symptom, followed by chest pain, abdominal pain, back pain. Some patients with chest tightness, syncope, vomiting, difficulty breathing, as the first symp- tom. The hypertension and the murmurs of aorta valve area were common signs. The cure rate of medicine, surgery and intervention was significant difference. Conclusion AD is a server case of cardiovascular diseases,and the form of AD is obviously related with age, sex,hypertension. On the base of medical thera- py, patients of type A aortic dissection should receive surgery and patients of type B prefer endovascular stents.

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]