急诊床旁超声在急性主动脉夹层诊断中的价值  

The Value of Emergency Bedside Bltrasound in Diagnosis of Acute Aortic Dissection

作　　者：张霞[1] 苏海庆[1] 陈昭蓓 Zhang Xia;Su Haiqing;Chen Zhaobei(Department of Ultrasound, National Hospital Affiliated to Guangxi Medical University,Nanning 530001)

机构地区：[1]广西壮族自治区民族医院超声科,广西南宁530001

出　　处：《现代医用影像学》2019年第3期632-634,共3页Modern Medical Imageology

摘　　要：目的:探讨急诊床旁超声在急性主动脉夹层诊断中的价值。方法:回顾分析我院收治的33例急性主动脉夹层的病例资料,将急诊床旁超声与主动脉CT造影的结果进行对照分析。结果:急诊床旁超声检出主动脉夹层28例,检出率为84.8%。其中急诊床旁超声对DebakeyⅠ型主动脉夹层的检出率为94.1%,对DebakeyⅡ型主动脉夹层的检出率为90.9%,对DebakeyⅢ型主动脉夹层的检出率为40%。结论:急诊床旁超声检查具有快速、无创、安全、重复性好、准确性高等优势,是急性主动脉夹层患者首选的检查方法。Objective: To investigate the value of emergency bedside ultrasound in diagnosis of acute aortic dissection (AAD). Methods: A total of 33 AAD were recruited in our hospital, retrospectively analyzed the clinic data of these AAD, compared their results of emergency bedside ultrasound and aortic enhanced CT. Results: 28 patients were detected of acute aortic dissection by ultrasound in these 38 cases, the detection rates was 84.8%. Among these 33 patients, the emergency bedside ultrasound detection rate of Debakey Ⅰ aortic dissection was 94.1%, the detection rate of Debakey Ⅱ aortic dissection was 90.9%,and the detection rate of Debakey Ⅲ aortic dissection was 40%. Conclusion: Emergency bedside ultrasound had the advantages of fast, non-invasive, safe, good repeatability and high accuracy. Emergency bedside ultrasound was a preferred examination method for the patients with acute aortic dissection.

关 键 词：急性主动脉夹层 急诊床旁超声 内膜片 

分 类 号：R543.1[医药卫生—心血管疾病]