急诊主动脉夹层41例临床分析  

Clinical Analysis of 41 Cases With Acute Aortic Dissection

作　　者：黄天宝[1] 杨志燕[1] 

机构地区：[1]福建医科大学附属泉州第一医院,362000

出　　处：《中国继续医学教育》2016年第6期65-66,共2页China Continuing Medical Education

摘　　要：目的对急性主动脉夹层(AD)尽早做出正确诊断,减少误诊,降低死亡率。方法对患者的病因及诱因、首发症状、辅助检查、误诊情况、治疗转归进行回顾性分析。结果患者首发症状表现各异,误诊率为21.95%,胸片、彩超、CT阳性检出率分别为30.30%、73.33%、89.29%,高血压患者与非高血压患者、非误诊与误诊患者死亡率存在显著差异。结论提高临床医生对本病的认识,及时正确的诊断及积极治疗是提高AD患者生存率和改善预后的关键。Objective For acute aortic dissection（AD） as soon as possible to make the right diagnosis, reduce misdiagnosis and mortality. Methods Starting on the causes of patients with symptoms, auxiliary examination, misdiagnosis and treatment outcomes were retrospectively analyzed. Results The first symptom of patients with different manifestation, misdiagnosis rate was 21.95%, chest X-ray, ultrasound, CT positive rates were 30.30%, 73.33%, 89.29%,there was significant difference mortality in patients with hypertension and non hypertension, with misdiagnosis and non misdiagnosis. Conclusion To improve the recognition of this disease, early diagnosis and active treatment is the key to improve the survival rate of patients with AD and improve the prognosis.

关 键 词：主动脉夹层 误诊 死亡率 

分 类 号：R543.1[医药卫生—心血管疾病]