主动脉夹层26例临床分析

Clinical Study of 26 Aortic Dissection

目的 :探讨主动脉夹层的临床特点、诊断方法、治疗及预后。方法 :分析 2 6例主动脉夹层临床资料 ,分析其临床特点 ,诊断方法、内外科治疗方法及近期预后。结果 :1 8例( 69.2 % )首发症状是胸、背、腹等突然出现剧烈疼痛。1 7例 ( 65 .4% ) X线胸片检查主动脉或纵膈影增宽 ,1 7例 ( 65 .4% )超声心动图检查出现典型夹层分离征象 ,核磁共振成像检查诊断准确性最高 ( 1 0 0 % ) ,经食管超声心动图检查是急症主动脉夹层诊断的最好评价方法。内外科治疗总病死率 34.6%。结论

Objective:To study the symptoms, phy sical signs, diagnoses, treatments and prognoses of aortic dissection. Method: The clinical characteristics, diagnostic methods, methods of medicine and surgic al treatment and recent prognosistic of 26 aortic dissection were reviewed in th e clinical materials. Result:The first symptoms of 18 (69.2% ) patients were vi olent pain in chest. Back and belly. The mediastina shadow of 17 (65.4%) patient s was shown widen in X-ray chest. The typical sign of aortic dissection were in 17(65.4% )patients. Nuclear magnetic resonance image check was the most accurat in diagnosing (100%), and echocardiography by esophagus is the best to appraise method for urgent aortic dissection . The total death rate was 34.6% by medicin e and surgical treatment. Conclusion:Early diagnose and correct treatment are t he key to reducing fatality rate of aortic dissection patients.