摘要
背景／目的：2003年，作者曾报道少量患者的急性主动脉夹层形成似乎与高强度举重运动有关。如果能识别更多的病例，举重运动诱导主动脉夹层形成的现象将进一步得到证实。本文中报道更大量病例的主动脉夹层形成与强体力活动有关。方法：收集更多强体力活动时急性主动脉夹层形成的病例，并对其进行分析。所采集的病例来自于对大型大学数据库的回顾性研究以及周边国家关注的报道。确定引发症状的不同活动类型、患者年龄与性别、夹层形成位置（升主动脉或降主动脉）、主动脉大小、治疗以及生存情况。
Background/Aims： In 2003, we reported on a small number of patients in whom acute aortic dissection appeared to be causally related to intense weight lifting. If additional cases could be identified, the phenomenon of weight lifting induced aortic dissection would be further substantiated. We now report a substantially larger number of cases in which aortic dissection is associated with intense physical exertion. Methods： Additional cases of acute aortic dissection occurring at the time of intense physical exertion were accumulated and analyzed. Cases were culled from retrospective review of a large university data base and from reports forwarded to our attention from around the country. We determined type of activity bringing on symptoms, age and sex of the patients, location of the dissection（ascending or descending aorta）, aortic size,
