摘要
目的分析老年主动脉夹层(aortic dissection,AD)患者的临床特征,提高急诊确诊率。方法回顾分析2007年1月～2010年1月我院收治的80例老年AD患者的临床特征及预后。结果 80例老年AD患者中查体无症状发病者占50.0,胸骨后撕裂样剧痛者占36.2,高血压者占78.8,吸烟者占47.5,动脉粥样硬化者占66.2;男性占85.0,多于女性的15.0;DeBakeyⅢ型占81.2;春季发病占40.0,多于其他季节;非体力劳动者占82.5;88.8的患者D-二聚体水平升高。结论老年AD患者具有男性多于女性,临床症状不典型,DeBakeyⅢ型多见等特点,其职业及危险因素有特殊性,诊治中应考虑。
Objective To improve the accurate rate of diagnosis of emergency aortic dissection（AD）by studying the clinical characteristics of elderly AD patients.Methods This was a retrospective study for clinical characteristics and prognosis of the elderly AD patient.There were 80 AD cases,attending emergency department in general PLA hospital from Jan 2007 to Jan 2010,in the study.Results There were about 50.0% patients with absent symptoms,36.2% patients with sudden severe chest pain.There were 78.8% AD patients with a history of hypertension,47.5% with smoking,66.2% with arteriosclerosis.The occupation analysis showed 82.5% AD patient with no manual work.The onset was prominent in Spring（40.0%）.The level of D-dimmer was higher in 88.8% patients.Conclusions We should pay attention to the characteristics in the group of elderly AD patients,who maybe represented with DeBakeyⅢ,untypical clinical symptoms;special occupations and risk factors.
出处
《中华保健医学杂志》
2011年第2期139-140,共2页
Chinese Journal of Health Care and Medicine
关键词
主动脉夹层
老年
临床特征
预后
Aortic dissection
Elderly
Clinical characters
Prognosis
