主动脉夹层在基层医院急诊的早期诊断与治疗的临床分析  

Clinical Analysis of Early Diagnosis and Treatment of Aortic Dissection in Primary Hospital

作　　者：张长江[1] 

机构地区：[1]江苏省启东市人民医院急诊科,江苏启东226200

出　　处：《中国继续医学教育》2017年第16期103-104,共2页China Continuing Medical Education

摘　　要：目的探讨主动脉夹层在基层医院急诊的早期诊断与治疗的情况。方法回顾性分析2012年2月—2017年5月来我院就诊的主动脉夹层患者46例临床资料,分为对照组27例和观察组19例。对照组应用传统诊治,观察组应用协定流程诊治,对比两种诊治方法的效果。结果观察组的急诊滞留时间、急诊救治有效率及误诊率均优于对照组,两组差异有统计学意义(P<0.05)。结论协定流程诊治可提高主动脉夹层的早期诊断和治疗效果。Objective To investigate the early diagnosis and treatment of aortic dissection in primary hospital. Methods The clinical data of 46 patients with aortic dissection from February 2012 to May 2017 in our hospital were retrospectively analyzed. There were 27 cases in the control group and 19 cases in the observation group. The control group was treated with traditional treatment, the observation group was treated by protocol, and the effect of the two methods was compared. Results The emergency stay time, emergency treatment efficiency and misdiagnosis rate of the observation group were better than those of the control group, the difference between the two groups was statistically significant（P〈0.05）. Conclusion Protocol diagnosis and treatment can improve the early diagnosis and treatment of aortic dissection.

关 键 词：主动脉夹层 急诊早期诊断与治疗 误诊 CT平扫 

分 类 号：R776[医药卫生—眼科]