急性主动脉夹层的早期诊断和评估

Progress in the early diagnosis and risk stratification of patients with acute aortic dissection

急性主动脉夹层(acute aortic dissection,AAD)是急诊常见心血管疾病中的急危重症,及时的药物和(或)手术治疗能够有效改善AAD患者的预后。因此,急诊医师早期诊断和识别危重AAD患者为其接受针对性的治疗和改善预后争取时机,显得至关重要。目前,AAD的急诊早期诊断和危险分层虽有进展,但仍然难以获得理想的急诊诊断和评估的工具。本文就目前AAD的早期诊断和预后评估的研究现状和发展方向进行评述,以供基础与临床研究参考借鉴。

Acute aortic dissection （AAD） is an acute and severe cardiovascular disease in Emergency Department. Medication therapy and （or） surgical treatment can effectively improve the prognosis of patients with AAD, but the mortality rate is still high. Early diagnosis and risk evaluation for AAD are crucial for patients to receive effective interventions. At present, early diagnosis and risk stratification for AAD have made progress, but it is still difficult to obtain an ideal tool for diagnosis and risk evaluation in ED. In this present article, we reviewed the research progress of early diag- nosis and risk evaluation for AAD.