急性A型主动脉夹层患者的CTA表现及危险因素分析  

Analysis of Computed Tomography Angiography Manifestations and Risk Factors in Patients with Acute Type A Aortic Dissection

作　　者：严骏 任飞[1] 程章波[1] 黄烽[1] YAN Jun;REN Fei;CHENG Zhang-bo;HUANG Feng(Fujian Provincial Hospital,Fujian Fuzhou 350001)

机构地区：[1]福建省立医院,福建福州350001

出　　处：《深圳中西医结合杂志》2021年第18期87-89,共3页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:探讨急性A型主动脉夹层(ATAAD)患者的计算机断层血管成像检查(CTA)表现并分析患者突发死亡的危险因素。方法:回顾性分析2018年1月至2020年12月在福建省立医院因急性胸痛入院并确诊ATAAD的患者96例,根据患者发病48 h内是否突发死亡,分为死亡的观察组13例,未死亡的对照组83例。比较两组患者的CTA表现,采用logistic回归分析ATAAD患者发生死亡的危险因素。结果:多因素logistic回归分析提示:CTA表现中真腔严重闭塞、冠状动脉受累及、撕裂至髂分叉以远是患者发生死亡的危险因素。结论:ATAAD患者的CTA提示有真腔严重闭塞、冠状动脉受累及、撕裂至髂分叉以远时,患者的猝死率风险较高,需要紧急干预处置并尽早手术治疗。Objective In this study,we aimed to determine the risk factors of sudden death and computed tomography angiography(CTA)manifestations in patients with acute type A aortic dissection(ATAAD).Methods From January 2018 to December 2020,96 patients admitted to hospital with acute chest pain with diagnosed ATAAD were retrospectively enrolled in our study.Patients were divided according to sudden death within 48 h of ATAAD onset,with 13 sudden death in the observation group,and 83 alive in the control group.Logistic regression were applied to analyse risk factors of sudden death in patients with ATAAD.Results Multivariate logistic regression indicated that severe occlusion of the true lumen,involvement of coronary arteries,and laceration far than iliac artery bifurcation were CTA associated risk factors of death in 48 h.Conclusion In ATAAD patients,CTA indicated severe occlusion of the true cavity,involvement of coronary arteries,and laceration far than iliac artery bifurcation were associated with a high risk of sudden death,which required emergency intervention and early surgical treatment.

关 键 词：急性A型主动脉夹层 计算机断层血管成像检查 影响因素 

分 类 号：R543.1[医药卫生—心血管疾病]