摘要
目的探讨主动脉夹层(AD)的临床特点、诊断方法、治疗及预后,提高对本病的认识。方法对2002年1月至2008年5月在随州市中心医院确诊为主动脉夹层的42例患者的临床资料进行回顾性分析。结果42例患者确诊后其中20例StanfordB型主动脉夹层行覆膜支架植入均取得成功,6例行外科主动脉置换术,16例内科保守治疗。住院存活39例,死亡3例。结论主动脉夹层以突发剧烈疼痛为主要症状,CT对本病的诊断意义重大。控制血压、心率是治疗的关键,进行介入或外科治疗可降低病死率,对StanfordB型夹层应用覆膜支架行腔内隔绝治疗是安全有效的方法。
Objective To explore the clinical features, diagnosis, treatment and prognosis of aortic dissection （AD）. Methods Clinical data of 42 AD patients admitted from the January 2002 to May 2008 were retrospectively reviewed. Results Of 42 AD patients, 20 patients with Stanford B type AD in acute stage was treated by coated stent-graft successfully, 6 by surgical methods, and 16 cases were treated by drugs. Thirty-nine cases survived, and 3 cases died after treatment. Conclusion Acute severe pain is chief complaint of patients with AD. Spiral CT has great significance in diagnosing AD. Controlling blood pressure and heart rate is the key of treatment, intervention or Surgical treatment can reduce its mortality, and endovaseular stentgraft exclusion is safe and effective in the treatment of Stanford BAD.
出处
《华中科技大学学报（医学版）》
CAS
CSCD
北大核心
2009年第3期389-390,共2页
Acta Medicinae Universitatis Scientiae et Technologiae Huazhong
关键词
主动脉夹层
诊断
治疗
预后
aortic dissection
diagnosis
treatment
prognosis
