主动脉夹层38例临床分析

The clinical analysis of with 38 cases aortic dissection.

目的探讨主动脉夹层临床特点,提高早期诊断、早期合理治疗、减少误诊误治、改善预后。方法回顾性分析38例AD患者的病因、临床特征、误诊原因、治疗方法及预后。结果病因高血压占71.05%,马凡氏综合征占15.79%,其他占13.16%。误诊率10.53%,死亡率10.53%。结论早期确诊、早期合理治疗是降低本病死亡率的关键。

Objective To explore the clinical features of aortic dissection, raise the rates of the early diagnoses, carry out early reasonable treatments, reduce misdiagnoses and mistreatment, improve prognoses. Methods A retrospective analysis was performed on the cause of this disease, clinical features, cause of misdiagnoses, and methods of treatments and prognoses of 38 patients with AD. Results The cause of this disease： hypertension made up 71.05%, Marfan syndrome 15.79%, and the others 13.16%. The rate of misdiagnoses was 10.53%, which was the death rate. Conclusion A definite diagnosis and a reasonable treatment of the patients＇ early stage are the keys to lowering the death rate of this disease.