主动脉夹层27例临床分析

The Clinic Analysis of 27 Patients with Aortic Dissection

目的:分析主动脉夹层(AD)的临床特点。方法:回顾性分析本院27例AD患者的临床资料。结果:De Bakey Ⅰ型9例,Ⅲ型18例。19例有高血压史,临床表现以突发胸痛或腹痛为主,部分合并胸腔积液和肾功能不全。27例患者均依据CT或MRI诊断。24例内科药物治疗,好转出院22例,死亡2例;动脉腔内隔绝术3例均成功。结论:AD是心血管病的危重急症,对疑诊AD患者应尽快确诊并合理选择治疗方式。

Objective:To investigate clinical manifestations,diagnosis and treatment of aortic dissection (AD). Methods:Clinical data of 27 patients with AD were analyzed retrospectively.Results:9 cases were DeBakey type Ⅰ and 18 cases were DeBakey type Ⅲ.19 cases were associated with hypertension.The clinical symptoms of the most patients were violent pain in chest or belly,but in some of them,renal insufficiency and hydrothorax were seen.CT or MRI was used in diagnose of AD.24 cases were treated by medicine,2 of them died and the others were recovered and discharged from hospital.3 cases accepted endovascular Stent-graft placements and all of them survived. Conclusion:AD is a dangerous disease.Patients suspected with AD should be diagnosed as early as possible and received appropriate treatment.