【摘要】 目的分析首诊误诊的急性主动脉夹层12例,找出误诊的原因。方法回顾性分析首诊误诊的急性主动脉夹层的临床特点、误诊病名和误诊时间。结果误诊为急性心肌梗死2例,心绞痛2例,急性胰腺炎2例,脊柱肿瘤疼痛1例,拟诊晕厥待查2例,休克待查1例,疑诊主动脉夹层2例。结论急性主动脉夹层临床表现变化多端,尤其临床表现不典型者易误诊。更多还原

【Abstract】 Objectives To study the present situation of misdiagnosed and to improve the consciousness with aortic dissection (AD) and to enhance the understanding about it,in order to avoid delaying diagnosis. Methods Retrospective analyzing of misdiagnosed diseases,clinical characteristics and accessory examinations were made in 12 patients with aortic dissection. Results Amount the 12 patients suffered from aortic dissection,two were misdiagnosed as acute myocardial infarction,two as angina pectoris,two as acute pancreatitis,one as tumor of spine,two as syncope of unknown cause,one as shock of unknown cause,and two would diagnosis as aortic dissection. The diagnosis of aortic dissection depended on the combined echocardiography,CT and MRI. Conclusions The manifestations of AD are complicated and non-specificity. The misdiagnosis rate in AD is high and misdiagnosis diseases are various. Patients with pain and signs of obstruction of artery,companied with hypertension or not,should be considered to AD. Promote the understanding of the disease and enhance the fundamental diagnostic technique are of key importance to reduce misdiagnosis.更多还原