以腰椎间盘突出为主要症状的主动脉夹层1例

Lumbar disc as the main symptoms in the diagnosis of artery dissection 1 case

1病例资料 患者,男,64岁,主因间断性上腹部不适20d,持续性加重5h于2014年2月19日,3：00入院。患者于20d前无明显诱因突然出现上腹部不适,伴有气短、恶心,曾到当地县医院就诊（具体诊断及治疗不详）,因效果欠佳,间隔1d后到我院急诊,复查腹部CR（立位）,提示＂肠积气＂,未作任何处理,此后多次在我院骨科门诊,先后考虑＂腰椎间盘突出＂等,未再作任何积极的正规治疗与处理。

The 80% of the patients with aortic dissection have sudden severe chest pain symptoms.The differences in intercalation of size and branch involvement of parts complicates clinical manifestation.Therefore misdiagnosis can easily occur.This report describes an atypical diagnosis and treatment of aortic dissection.