主动脉夹层患者临床特征及预后分析

Clinical features and prognosis of patients with dissection of aorta

目的探讨主动脉夹层患者的临床特征、诊断、治疗及预后。方法对56例主动脉夹层患者的病因、临床表现、影像学检查、分型、治疗和预后进行回顾性分析。结果主动脉夹层的常见原因为高血压;临床表现主要为胸、背部疼痛,CT和MRI检查确诊率高;A型患者的并发症发生率和死亡率显著高于B型患者;介入治疗临床效果较好。结论A型患者的预后较B型差,早期诊断、合理治疗可以改善患者的预后。

Objective To explore the clinical features, diagnosis, treatment and prognosis of aortic dissection. Methods Retrospective analyses were conducted on etiopathogenisis, clinical manifestations, imaging examination, grouping, treatment and prognosis in 56 patients with AD. Results The common cause of the AD was hypertension; clinical manifestations were mainly chest and back pains, rates of final diagnosis by the CT and MRI were higher; incidence of complications and mortality were obviously higher in the type A than in the type B patients; curative effects of interventional therapy were better. Conclusion Prognosis of type A patients was poorer than type B ones, early diagnosis and rational therapy can improve the patients＇ prognosis.