主动脉夹层87例临床分析  

The Treatment of 87 Aortic Dissection Patients

作　　者：刘建平[1] 张永恒[1] 杨波[1] 周海宁[1] 马蓉[1] 

机构地区：[1]遂宁市中心医院胸心外科,四川遂宁629000

出　　处：《中国医药指南》2013年第1期37-38,共2页Guide of China Medicine

摘　　要：目的探讨主动脉夹层(AD)的临床特点、易患因素和诊疗体会。方法对我院收治的87例主动脉夹层患者的临床资料进行回顾性分析,研究其临床特点、影像学诊断、治疗方式及效果。结果Ⅰ型9例,Ⅱ型2例,Ⅲ型76例。81例合并高血压病;外伤所致2例;马凡综合征1例。CT血管造影(CTA)诊断AD准确率为100%。87例中经内科保守治疗44例,介入治疗37例,外科手术治疗6例,63例均好转出院,自动出院放弃治疗11例,死亡13例。结论本病病死率高,高血压病为最常见的高危因素之一,早期准确的诊断和治疗是降低病死率的关键。Objective To discuss the clinical characteristics,susceptible factors,and diagnostic experiences of aortic dissection.Methods From January,2008 to May,2012,the clinical data of 87 patients suffered aortic dissection were analyzed retrospectively,and clinical characteristics,diagnostic Imaging,treatment methods and clinical effect were discussed in detail.Results Among all the patients included,there were 9 type Ⅰ,2 type Ⅱ,76 type Ⅲ.And 81 patients complicated hypertension.2 were caused by trauma.And there 1 marfan syndrome.The accuracy of CT angiography in the diagnostic of Aortic Dissection was 100%.During the selected patients,44 were treated conservatively,37 were treated interventional,6 patients were treated by surgery.Finally there were 63 patients discharged successfully,11 patients were given up,13 patients died.Conclusion The aortic dissection has a high mortality,the key to discrease mortality is eraly accurate diagnose and treatment.

关 键 词：主动脉夹层 诊治分析 

分 类 号：R543.1[医药卫生—心血管疾病]