【摘要】 目的根据临床线索,探讨夹层动脉瘤的急症诊断,减少误诊率。方法回顾性分析18例急诊诊断夹层动脉瘤患者的临床资料及辅助检查。结果18例首诊印象为冠心病、心肌梗死、脑梗死、下肢动脉血栓、休克等,经辅助检查明确为夹层动脉瘤。结论对可疑病例应注重相关病史,认真全面体检,进行特异性辅助检查以提高诊断率。更多还原

【Abstract】 Objective To decrease misdingnosis rate, discuss the diagnosis of clinical emergency patients by clinical clues.Methods To review clinical data and results of auxiliang exams on 18 emergency patients with dissecting aneurysm.Results 18 patients firstly diagnosed as coronary heart disease, myocardial infaction, lower extremity arterial embolism, cerebral infarction, shock,ect.Were finally confirmed to have dissecting aneurysm by specific exams.Conclusion It’s helpful for doctors to analyze suspected history of disease by means of careful and complete physical check as well as specific auxiliary exams so as to increase diagnosis rate of dissecting aneurysm.更多还原