8例主动脉夹层动脉瘤的临床分析

The clinical analysis of 8 cases with aortic dissecting aneurysm

目的:探讨主动脉夹层动脉瘤(ADA)的临床诊疗特点以及降低ADA的误诊率和提高治疗成功率的措施。方法:对8例ADA临床资料进行了回顾性分析;7例行重症监护治疗,1例行外科治疗。结果:7例经药物治疗后,血压降至正常、疼痛缓解5例,未缓解2例。1例手术治疗后治愈。死亡2例,死亡原因为夹层动脉瘤外膜破裂致心包填塞。结论:重视高危人群,熟悉临床特征,慎重选择辅助检查及治疗方案,可有效降低ADA的误诊率,提高生存率。

Objective： To study clinical characteristics of the aortic dissecting aneurysm （ADA）, reduce the misdiagnosis rate, increase sucessful rate of treatment. Methods： Retrograde analysis clinic data of 8 patients admitted in our hosptial, 7 cases were treated by medical drugs, and 1 by surgery. Results： After treated by medical drugs, 5 cases became normotensive and remission of ache, and no change of ache in rest 2.1 case by surgery. 2 cases died of pericardial tanponacde caused by rupture of aortic dissecting aneurysm. Conclusions： If we can notice risk factors, clinic charateristlcs and be careful electing imaging technology and tretments, standard medical therapy as soon as you can, survival of the aortic dissection aneurysm can be improved.