以急腹症表现的血液透析患者并主动脉夹层2例分析

Hemodialysis patients with aortic dissection present as acute abdominal disease: analysis of two cases

探讨以急腹症表现的维持性血液透析患者并发主动脉夹层的临床特点。对2例血液透析患者并发主动脉夹层临床资料进行分析。1例开始拟诊为急性心肌梗塞。而另1例开始则怀疑急性胰腺炎。血液透析患者易并发血管性疾病,且临床表现不典型,应引起我们的重视。

The clinical features of hemodialysis patients with aortic dissection presenting as acute abdominal disease were investigated.The clinical manifestation of 2 cases of hemodialysis patients with aortic dissection was analyzed.In the 2 cases,one of them was suspected acute myocardial infarction,another was suspected acute pancreatitis.The hemodialysis patients with aortic dissection are easily misdiagnosed.We should pay more attention to the diagnosis and treatment of aortic dissection in hemodialysis patients.