主动脉夹层106例的临床分析

Clinical analysis of 106 patients with aortic dissection

目的:强化对主动脉夹层(AD)临床特点的认识,提高诊治水平,降低患者病死率。方法:回顾性分析我院106例AD患者的临床资料。结果:AD患者临床表现复杂多变。胸痛+背痛+腰痛104例(98.1%)为最常见症状,主动脉杂音(30.2%)为最常见体征。内科、外科、介入三种治疗方案与患者的好转/治愈率无显著差异(P>0.05)。结论:对于有主动脉夹层常见临床表现者应及时进行CT等特殊检查,早期确诊,改善预后。

Objective： To increase the understanding for clinical characters of aortic dissection in order to improve the diagnosis and treatment of aortic dissection. Methods： Retrospectively analyzed the data of 106 patients with aortic dissection. Results： The pain （chest pain＋back pain＋low back pain） occupied 98.1% and was most symptom in 106 patients with aortic dissection. The murmurs of aorta valva area （30.2%） was sign. The improve/healing rate of medicine, surgery and intervention was no significant difference （P〉0.05）. Conclusion： Special examine must early performed for patients with most symptom and most sign of aortic dissection for improve prognosis.