主动脉夹层90例临床分析

Clinical Analysis of 90 Cases With Aortic Dissection

目的 :回顾性分析主动脉夹层临床表现、诊断和治疗。方法 :总结分析本院 11年来主动脉夹层 90例。结果 :72例 (80 % )有明确高血压 ,10例 (11.1% )为马凡氏综合征。Daily分型 :A型 4 6例 (5 1.1% ) ,B型 4 4例 (4 8.9% )。X线胸片、超声、CT和磁共振诊断的敏感性分别为34.2 %、6 2 .5 %、92 .6 %和 98.2 %。经治疗后存活 71例 (78.9% ) ,死亡 19例 (2 1.1% )。结论 :主动脉夹层病因主要为高血压 ,影像学技术是其主要诊断方法 。

Objective: To analyse the clinical manifestation, diagnosis and treatment of aortic dissection (AD) retrospectively. Methods: Ninety Cases with AD hospitalized in our hospital in recent 11 years were analyzed. Results: Seventy-two cases (80%) with overt hypertension, 10 cases ( 11.1%) with Marfan's syndrome. Daily clssification: type A were 46 cases ( 51.1%) and type B were 44 cases ( 48.9%). The diagnostic sensitivity of X-ray, Echocardiography, CT and Magnetic resonance imaging (MRI) were 34.2%, 62.5%, 92.6% and 98.2% respectively. Seventy-one cases ( 78.9%) survived and 19 cases ( 21.1%) died after treatment. Conclusion: Hypertension is the most common cause of AD. Imaging technique is the main diagnostic method, of which MRI is the most sensitive approach for the diagnosis of AD.