摘要
目的探讨主动夹层分离(AD)的临床特点、诊断方法、治疗及预后。方法收集14例AD患者的临床资料,分析其临床特点、诊断方法,内外科治疗方法及其近期预后。结果12例AD患者(为85.7%)首发症状是胸、背、腹等突然出现剧烈疼痛;10例患者(为71.4%)X线片示主动脉或纵隔影增宽;13例患者(为92.8%)超声心动图示典型夹层分离征象;核磁共振成像诊断AD准确性最高(为100%)。内外科治疗总病死率为35.7%。结论核磁共振成像能早期诊断AD患者,积极正确治疗是降低主动脉夹层病死率的关键。
Objective To study the clinical manifestation, diagnostic methods, therapy and prognosis of aortic dissection. Methods Clinical data of 14 cases with AD were collected and then, their clinical manifestation,diagnostic methods, internal or surgical therapy, and their prognosis in the near future were analyzed. Results The first symptoms of 12（ 85.7% ） patients were violent pain in chest, back and belly. X-ray of 10 cases （71.4%） showed widened aorta and mediastinum. The typical sign of aortic dissection were found in 13 （92.8%） patients from their ultrasoundcardiograms. Nuclear magnetic resonance image has the highest accurate rate in diagnosing AD （ 100.00% ）. The total case fatality of internal and surgical therapy is about 35%. Condusion AD can be diagnosed earlier by nuclear magnetic resonance image,and positive and correct therapy is the key to decrease the case fatality of AD
出处
《医学综述》
2008年第7期1116-1116,共1页
Medical Recapitulate
关键词
主动脉夹层
诊断
治疗
Aortic disease
Diagnosis
Therapy
