主动脉夹层的早期诊断及治疗

目的分析主动脉夹层(AD)的临床特点,探讨AD的早期诊断及治疗。方法回顾性总结2006年至2012年我院收治15例主动脉夹层患者的临床资料。结果患者以中老年男性为主,80%伴有高血压。经内科保守治疗,死亡6例,转上级医院介入治疗7例,病情平稳出院2例。结论主动脉夹层发病急,病情凶险,临床医生应提高对AD的认识,重视高危人群,熟悉临床特征,合理选择辅助检查。及早明确诊断,可有效提高AD患者的生存率。

@@@@objective to analyze aortic dissection (AD), this paper discusses the clinical characteristics of early diagnosis and treat-ment of AD. Methods retrospective summary from 2006 to 2012 were from 15 cases clinical data of patients with aortic dissection. Results patients with senile male is given priority to, 80%with high blood pressure. The medicine conservative treatment, 6 cases of death, and turn the superior hospital interventional therapy in 7 cases, 2 cases of illness is smooth discharge. Conclusion aortic dissection come on urgent, the patient's condition is dangerous, clinical doctors should improve the understanding of the AD, and pay more attention to the high risk population, familiar with clinical characteristics, reasonable choice of auxiliary examination. Early diagnosis, which can effectively improve the survival rate of patients with AD.