主动脉夹层动脉瘤25例临床分析

The clinical analysis of 25 cases with aoutie dissecting anaurysm

对２５例主动脉夹层动脉瘤的临床表现进行分析，３１～６８岁者占９５％，男女患病率之比为４：１；２５例中以远端型多见，近端型与远端型之比为０．７８：１；因其临床表现各异，而常被误诊为急性心梗、急腹症等；除病史及临床表现外，Ｘ线平片和超声心动图（２—ＤＥ）是常规诊断方法，ＣＴ和数字减影血管造影（ＤＳＡ）为其确诊方法。一旦确诊应立即治疗。一般认为近端型手术治疗近期预后好于内科治疗。

The clinieal findings of 25 cases with aortic dissecting aneurysm were analysized.The cases of age 31～68 years accounted for 95 percent.The ratio in incidence of made to female & of type Debakey Ⅰ & Ⅱ to type Debakey Ⅲ was 4 to 1 & 0.78 to 1 respectively.Because of its various findings.aortic dissecting aneurysm was usually misdiagnosed as an acute mycardial infarction or acute abdomen.Besides considering the disease history & clinical findings,the chest X-ray & two-dimension echocardiography were common examinating & diagnosing methods,& CT & DSA play a very important in diagnosing aortic dissecting aneurysm As soon as it was diagnosed.it was necessary to give a prompty treatment.In general,short-term prognosis of the operation on type Ⅰ & Ⅱ was superior to that of internal medicine.However,the later was more excellent for dealing with type Ⅲ without complication