56例主动脉夹层的临床分析.doc

文档介绍：56例主动脉夹层的临床分析
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作者:梁高永,卓晓英,赵宁军,燕宪亮,陈可,翟丽梅,许铁
【摘要】目的探讨主动脉夹层(aortic dissection, AD)的临床表现及诊断。方法对56例AD患者的临床资料进行总结,分析其临床特点、辅助检查、影像学诊断、治疗方式及效果。结果 56例AD患者临床表现多样,胸背部疼痛或腹痛可为首发症状,常有其他伴随症状,高血压是导致AD的主要原因,螺旋CT血管成像的诊断符合率达100%。AD 的治疗主要包括积极控制血压、外科手术、支架植入术。结论及时有效的早期诊断和积极采取恰当的治疗是提高AD生存率和改善预后的关键。
【关键词】主动脉夹层;诊断;治疗;预后
Abstract: Objective To investigate the clinical manifestation, diagnosis and treatment of aortic dissection (AD). Methods According to the clinical data of continuous 56 patients with AD, the clinical characteristics, imaging diagnosis, treatment methods and es. Results The symptoms and physical signs in 56 AD patients were diverse. chest-back pain or abdominal pain was the mon initial symptom. Often panying other simultaneous phenomenon. Hypertension was the most important cause of AD. The diagnostic sensitivity of puted tomography (SCTA) was 100%. It could help to make the rapid diagnosis. The treatment of AD mainly
included controlling blood pressure, surgery and endovascular stent placement. Conclusion The accurate diagnosis as early as possible and active suitable treatment are the key to increase the survival rate and to improve the prognosis of AD.
Key words: aortic dissection; diagnosis; treatment: prognosis
主动脉夹层(aortic dissection, AD) 是血液从主动脉内膜的破口进入主动脉壁中层,并沿纵轴方向扩大致主动脉两层膜被剥离的状态,是一种严重威胁生命的主动脉疾病,其特点是发病急、病情复杂多变、进展迅速、误诊率、病