摘要
目的探讨主动脉夹层的病因、临床表现、诊断以及治疗方案。方法对我科室收治的173例主动脉夹层患者的病因和诱因、临床表现、辅助检查结果、诊断分型以及治疗方案和预后进行回顾性分析。结果马方综合征、高血压、糖尿病导致的动脉粥样硬化是主动脉夹层发生的主要高危因素,其占本次研究发病因素的95.4%(165/173);临床表现和辅助检查对主动脉夹层的诊断十分必要;血管内带膜支架治疗优于传统的药物及外科手术治疗,本组痊愈率97.6%(169/173)。结论综合主动脉夹层各种高危因素和临床表现,结合适当的辅助检查是早期主动脉夹层的诊断关键,及时合理的治疗能有效地改善患者的预后。
Objective To discuss the etiology,clinical manifestation,diagnosis and treatment of aortic dissection（AD）.Methods Clinical data of the etiology,incentive,clinical manifestation,assistant examination,treatment and prognosis of 173 AD patients were retrospectively reviewed.Results The main risk factors of AD were Marfan syndrome,hypertension,atherosclerosis,which accounted for 95.4%（165/173） of pathogenic factors in this research.Clinical manifestation and assistant examination were necessary for AD diagnosis.Endovascular stent-graft treatment proved cure rate 97.6%（169/173）,which was better than traditional medicine and surgery.Conclusion Risk factors and clinical expression analysis combined with proper auxiliary check is the key of early diagnosis of AD.The timely and reasonable treatment can effectively improve the prognosis of patients.
出处
《临床荟萃》
CAS
2012年第18期1588-1590,共3页
Clinical Focus
关键词
主动脉夹层
体征和症状
诊断
治疗
aortic aneurysm
signs and symptom
diagnosis
treatment
