32例主动脉夹层的临床特征与治疗

Clinical Manifestation and Treatment of 32 Cases with Aortic Dissection

【目的】研究主动脉夹层的临床特征与治疗。【方法】对32例主动脉夹层患者症状、体征、实验室检查及影像学资料进行回顾性分析。【结果】突发胸背剧痛、血压增高、新出现主动脉瓣关闭不全杂音、血压脉搏不对称、休克及上纵隔影增宽是该病的常见表现与诊断线索。超声心动图、CT扫描和MRI可提供主动脉夹层诊断的可靠证据。【结论】早期诊断和积极正确处理主动脉夹层是降低病死率、改善预后的关键。

[Objective]To study the clinical manifestation and treatment of aortic dissection. [Methods]The symptoms, physical signs, results of laboratory tests and imaging features of 32 patients with aortic dissection were retrospectively analyzed. [Results]Several major clues to early diagnosis were as follows., sudden tearing chest pain, high blood pressure, sudden aortic insufficiency murmur, inconsistent peripheral arterial pulse and blood pressure, shock and widened upper mediastinum. Aortic dissection could be reliably diagnosed by echocardiography, CT scanning and MRI. [Conclusion]The early accurate diagnosis and active therapy are keys to decrease mortality and morbidity of aortic dissection.