急性主动脉综合征的超声诊断分析

Analyze the sonographic characteristics of hepatic angiomyolipoma

目的探讨急性主动脉综合征(AAS)的临床特征和超声诊断价值。方法对1例28岁男性患者,因感冒后出现胸闷、胸痛、气紧伴高热、乏力、背部疼痛5个月,经抗感染治疗好转后,症状反复发作,且突然剧烈咳嗽,活动时加重。CT检查提示升主动脉左侧血管影。超声心动图检查示主动脉根部瘤伴破口形成。结果术后诊断为主动脉根部瘤;主动脉右冠瓣脱垂伴重度反流。病理报告提示符合动脉瘤改变。结论急性主动脉综合征(AAS),包括一组有相似临床症状的器质性疾病,其起病急骤、后果严重,围手术期并发症率及死亡率高,超声心动图对AAS能作出早期及时正确诊断,能为外科手术方式的选择提供客观依据,可避免不良事件的发生和改善患者预后。

Objective To evaluate the clinical character and the diagnostic value of acute aortic syndrome（AAS） by echocardiography. Methods A 28-years-old patient was refered to our centre for the chronic dyspnea,chest pain and high fever after he caught a cold five months ago. The symptoms relieved after the antibacterial treatment in the local clinic. While the symptoms get recurrence some times,and it aggravated when lying on back or exercising . CT and the echocardiography was performed and an abnormal vascular sign was observed respectively. Results Penetrating atherosclerotic aortic ulcer and prolapse of the right aortic coronary valve with severe regurgitation were diagnosed during the surger procedure. And the histological examination confirmed our diagnosis. Conclusion AAS consists of a group of heterogeneous diseases high perioperative complication rate and mortality. Echocardiography is helpful in the diagnosising of the AAS, which can reduce the incidence of adverse event in AAS.