12例主动脉夹层动脉瘤误诊分析

Error diagnosis of 12 cases of aortic dissecting aneurysm

目的通过对12例主动脉夹层动脉瘤患者的临床分析,提高对主动脉夹层动脉瘤的确诊率,减少误诊。方法对收治住院的12例主动脉夹层动脉瘤患者进行临床分析,找出误诊原因。结果主动脉夹层动脉瘤主要表现为高血压、剧烈胸腹或腰背部疼痛、胸腹部杂音、休克、胸闷、神经及运动系统障碍等。主要误诊为急性心肌梗死、不稳定型心绞痛、脑血管意外、腹痛待查等。结论主动脉夹层动脉瘤是严重疾病,临床表现无特异性,易误诊,应提高对该病的认识。

Objective To analyse the clinical manifestation,diagnosis and treatment of aortic dissection(AD)retrospectively,improve the accurate diagnosis,and reduce misdiagnosis.Methods Tweleve cases with AD who were misdiagnosed as other diseases in our hospital were reviewed and analysed.Results Most patients have various clinical manifestations.The main manifestations are the high blood pressure,acute and severe ache in chest and abdomen,the shock,and disturbance of consciousness ete.The primary causes of misdiagnosis is as cardiovascular and cerebrovascular diseases and to research into abdominal pain.Conclusion AD is a serious disease,the spespecificity result in misdiagnosis.To improve the understanding of AD,application of available instruments,misdiagnosis can be greatly avoided.