【摘要】 目的探讨主动脉夹层的临床特点、误诊情况、诊断方法及临床治疗方法与转归。方法对32例主动脉夹层患者的临床资料进行回顾性分析。结果 32例患者中男女比例1.67∶1,年龄以40~65岁者居多。发病时多无明显诱因,既往有高血压者多见。发病的首要症状表现为剧烈的持续的胸背部疼痛并伴有大汗,A型者以胸背部疼痛为主,B型者以腰背部疼痛为主。MRI检查有助于快速明确诊断,确诊率可达到100%。治疗以药物治疗为基础,A型者首选手术治疗,B型症状不能控制者可选择手术或介入治疗,稳定者药物治疗是有效的。结论早期确诊、及时治疗及不同类型患者选择合理的治疗方式是提高主动脉夹层患者生存率的关键。更多还原

【Abstract】 Objective To investigate the clinical characteristics,misdiagnosis,diagnostic methods therapeutic approaches and outcomes of aortic dissection.Methods therapeutical approaches and outcomes of aortic dissection.Method: The clinical data of 32 patients with aortic dissection diagnosed by our hospital from March 2005 to December 2009 were retrospectively analyzed.Results Of the 32 patients,the ratio of male to female was 1.67:1,mostly aged between 40 and 65.Normally the onsets of aortic dissection were not involved in distinct inducing factors,but many were related to hypertension.The first symptom was severe persistent pain in chest and sweating.Type A mainly remained chest pain,while type B mainly remained back pain.Definite diagnosis could be speedily made by MRI in 100%.Based on medicine therapy,surgical treatment was first choice for Type A,surgical or interventional treatment could be chosen for instable patients of Type B,and medicine treatment was effective for stable patients of Type B.Conclusion Early diagnosis and therapy,proper treatment for different types are important for the patients with aortic dissection in raising their survival rate.更多还原