主动脉夹层的急诊诊治分析

Analysis of diagnosis and treatment of aortic dissection

目的:探讨主动脉夹层(AD)的临床表现、急诊早期诊治特点及误诊原因。方法:回顾性分析我院16例AD患者的临床资料。结果:AD的临床表现各异,典型撕裂样疼痛11例(68.8%),部分患者以并发症为首发症状,影像学检查能确定诊断。AD的临床表现复杂,急诊首诊误诊率56.2%。结论:AD临床表现复杂,易误诊,提高急诊医师诊断意识和诊断水平是当务之急。

Objective：To investigate the clinical manifestations,emergency charactoeristics of early diagnosis and treatment and misdiagnosed condition of aortic dissection （AD）.Methods：The clinical data in 16 patients with AD in our hospital were summarized retrospectively.Results：The symptoms and physical signs of AD were different,tbe typical tearing pain was found in 11 cases accounting for 68.8%, while the complications were found as the initial symptom in some patients.Tbe final diagnosis could be confirmed by CT or MRI, and its misdiagnosis rate was 56.2%.Conclusion：The symptoms and physical signs of AD are complex.This disease might be misdiagnosed because of less knowledge about AD in clinical physicians.It is urgent matter to increase the diagnostic consciousness and diagnosis level of the physician of emergency.