无痛性急性主动脉夹层的临床分析

Clinical analysis of painless acute aortic dissection

目的:分析无痛性急性主动脉夹层患者的临床特点,探讨如何提高无痛性急性主动脉夹层的诊断率及降低死亡率。方法:收集2004-2011年在武汉同济医院住院的急性主动脉夹层患者共625例,其中无痛性39例,对其临床特点进行回顾性研究。结果:无痛性夹层患者从发病到住院的时间、住院后到确认的时间均明显长于痛性主动脉夹层患者,死亡率也较痛性主动脉夹层患者高;常规心脏彩超对无痛性主动脉夹层的确诊率达到74.19%。结论:了解无痛性主动脉夹层的临床表现,有效结合彩色多普勒超声、CT等影像学检查,早期诊治是降低无痛性夹层患者死亡率的关键。

Objective：To analysis clinical manifestation of painless acute aortic dissection. Method.. The 39 pa- tients with painless acute aortic dissection admitted to hospital from 2004 to 2011 were selected. Result： The time from the onset of symptoms to admission and the time from admission to a definite diagnosis in the painless group were significantly longer than those in pain group. The mortality in painless group was significantly higher than that in pain group. Routine echocardiography was very helpful to diagnosis painless. Conclusion.. Clinical symptoms of painless acute aortic dissection are more frequent complications. Rapidly diagnosis and therapy are criticality.