【摘要】 目的探讨急性主动脉夹层(AD)的患病危险因素、临床特点及治疗方法,以减少误诊,提高患者生活质量,改善预后。方法对37例AD住院患者临床资料进行回顾性系统分析。结果病因:高血压占62.2%,马凡综合征占18.9%,特发性主动脉中膜退行性变5.4%,临床表现90%患者为剧烈胸痛,9%疼痛不典型,5%无疼痛的表现。内科药物治疗32例,56.4%需4种降压药物治疗;好转27例,死亡5例;外科治疗5例,死亡1例;介入治疗10例,无一例死亡。结论高血压和马凡综合征是AD的主要危险因素,AD临床表现仍以突发剧烈胸痛为主要临床症状,内科治疗中血压控制多需降压药物联合应用,B型AD可行介入治疗。更多还原

【Abstract】 Objective To investigate the risk factors,clinic characters and therapies of acute aortic Dissection,then to improve the quality of life and prognosis.Methods We analyzed the data of 37 patients with acute aortic dissection and summarized them.Results The causes include 62.2% of hypertension,18.9% of marfan syndrome and 5.4% idiopathic aortic tunica media degeneration.Of all the patients,90% complained intense typical pain,9% had non-typical pain and 5% patients had no pain.32 cases received medical treatment,5 of which died;while 5 cases performed operation,1 died;10 cases received intervention treatment with no death.Conclusion Hypertension and marfan syndrome are the main risk factors of acute aortic dissection,intense typical pain is the main symptom,medical treatment needs to control the hypertension,B type needs intervention treatment.更多还原