摘要
目的探讨主动脉夹层(aortic dissection,AD)的临床表现及诊断。方法对56例AD患者的临床资料进行总结,分析其临床特点、辅助检查、影像学诊断、治疗方式及效果。结果56例AD患者临床表现多样,胸背部疼痛或腹痛可为首发症状,常有其他伴随症状,高血压是导致AD的主要原因,螺旋CT血管成像的诊断符合率达100%。AD的治疗主要包括积极控制血压、外科手术、支架植入术。结论及时有效的早期诊断和积极采取恰当的治疗是提高AD生存率和改善预后的关键。
Objective To investigate the clinical manifestation, diagnosis and treatment of aortic dissection （AD）. Methods According to the clinical data of continuous 56 patients with AD, the clinical characteristics, imaging diagnosis, treatment methods and outcomes. Results The symptoms and physical signs in 56 AD patients were diverse, chest - back pain or abdominal pain was the most common initial symptom. Often accompanying other simultaneous phenomenon. Hypertension was the most important cause of AD. The diagnostic sensitivity of spiral computed tomography （ SC- TA） was 100%. It could help to make the rapid diagnosis. The treatment of AD mainly included controlling blood pressure, surgery and endovascular stent placement. Conclusion The accurate diagnosis as early as possible and active suitable treatment are the key to increase the survival rate and to improve the prognosis of AD.
出处
《徐州医学院学报》
CAS
2009年第8期533-535,共3页
Acta Academiae Medicinae Xuzhou
关键词
主动脉夹层
诊断
治疗
预后
aortic dissection
diagnosis
treatment
prognosis
