主动脉夹层27例临床特点及内科治疗分析  

Analysis of medical treatment of aortic dissection

作　　者：高光霞 唐兵[1] 吴佳妮[1] 靳琳[1] 

机构地区：[1]成都市第六人民医院ICU,四川成都610051

出　　处：《西部医学》2012年第9期1742-1743,共2页Medical Journal of West China

摘　　要：目的探讨主动脉夹层(AD)的临床特点及内科治疗方法。方法对急诊或收入院后明确诊断为主动脉夹层的27例患者的临床资料进行回顾性分析。结果 AD患者临床表现多样,首发症状多为胸痛;高血压是导致AD的主要原因,CT和MRI有助于快速诊断和定位;镇静、镇痛、降压是内科治疗中最有效的方法。本组27例患者中,显效和有效共17例(62.96%),无效10例(37.04%)。结论早期快速准确的诊断及治疗,可有效降低AD患者的早期死亡率,是提高AD患者生存率的关键。Objective To investigate the clinical characteristics and medical treatment method of the aortic dissection（AD）.Methods The clinical diagnosis and medical treatments and results of aortic dissection were retrospectively analyzed in 27 patients.Results The clinical symptoms and physical signs in 27 AD patients were diversity.The initial symptom was mostly chest pain.Hypertension is the key cause of AD.The use CT and MRI can help to make rapid diagnosis and positioning;The most effective treatment was use of sedatives and analgesics.17 cases were obviously by use of sedatives,analgesics and antihypertensive therapy（62.96%）;10 cases had no efficacy（37.04%）.Conclusion Rapid diagnosis and effective treatment can reduce the mortality,which is the key to improve the survival of the AD patients.

关 键 词：主动脉夹层 诊断 内科治疗 

分 类 号：R732.21[医药卫生—肿瘤]