主动脉夹层破裂致心脏压塞猝死五例尸检分析

Sudden deaths caused by cardiac tamponade due to rupture of aortic dissecting： autopsy of 5 cases

结合尸检结果，分析5例主动脉夹层（AD）猝死患者的临床表现和死亡原因。显示主动脉夹层引起猝死者多为Ⅰ型和Ⅱ型，患者多有高血压病史，多以胸、腹痛或背痛为首发症状；升主动脉夹层破裂致心包腔积血引起心脏压塞是其猝死的重要死因。提示，应提高基层医师对AD的认知度，以期早诊断、早转诊、早治疗。

A retrospective analysis was made on clinical manifestations and autopsy results of 5 sudden deaths from aortic dissecting （AD）. Sudden deaths from AD were almost induced by type Ⅰ and Ⅱ of DeBakey Typing. Most patients had a history of hypertension and prodromal symptoms of either chest pain, abdominal pain or back pain. Most common cause of death was cardiac tamponade induced by rupture of the ascending aorta. The clinicians should further recognize of AD so as to achieve the objective of early diagnosis and early treatment.