【摘要】 目的:进一步加深对主动脉夹层临床特征的了解,提高对该疾病的认识,以增加主动脉夹层诊治的正确率。方法:总结文献并且回顾分析55例主动脉夹层的临床特征和治疗。结果:近几年在我院住院的主动脉夹层病例明显增多,从1993～1999年20例,2000～2003年35例。由于夹层位置不同,其临床表现变化多端,易误诊。本组确诊55例主动脉夹层,首诊误诊率55％。主动脉夹层发生有多种危险因素,高血压是主要诱发因素,其次为马凡综合征及主动脉狭窄。主动脉夹层的诊断有赖于综合超声、CT、MRI。本组病例Ⅰ型夹层21例,Ⅱ型夹层14例,Ⅲ型夹层20例。Ⅰ、Ⅱ型夹层手术治疗为主,Ⅲ型夹层以保守治疗为主。结论:早期诊断及时合理治疗,对挽救患者生命及主动脉夹层患者预后有重要意义。更多还原

【Abstract】 Objective: To summarize the characteristics of Aortic Dissection and enhance the understanding about it in order to avoid delaying diagnosis and provide effective treatment. Methods: Reviewing the relevant literature. summarizing and analyzing the clinical characteristics of 55 AD cases.Results:The number of Aortic dissecrion patients in our hospital obvious increased during the past several years from 20( 1993-1999) to 35(1999-2003). As the position of dissection is different, the clinical presentation of Aortic dissection was significantly various, it’s diagnosis is difficult. The diagnosis of as many as 55% of the patients in the group of 55 were delayed.The incidence of Aortic dissection is may be caused by various factors, the most important one is hypertension. Marphan syndrome and disease of the aortic wall. The diagnosis of Aortic dissection depends on the combined echocardiography; CT, MRI. A-mong 55 patients diagnosed during in or out of our hospital were 2 1 cases of type Ⅰ,1 4 cases of type Ⅱ,20 cases of type Ⅲ.Surgical operation was applied to the patients of type I and Ⅱ, while conservative therapy was applied to the type Ⅲ patients. Conclusion: early diagnose rate and reasonable treatment can markedly raise the survival rate and improve the patients prognosis.更多还原