老年人主动脉内膜剥离症17例临床报告

Geriatric aortic dissecting aneurysms:a clinical report of 17 cases

目的 探讨老年人主动脉内膜剥离症有效的治疗方法。 方法 回顾分析我院 1990年 1月～ 2 0 0 3年 1月间经超声心动图、CT或MRI及主动脉造影等检查确诊的 17例老年人主动脉剥离症。 结果 本组 17例老年主动脉剥离症患者 ,经内科药物治疗 12例 ,死亡 3例 ,病死率 17 6%。 5例主动脉内置入带膜支架和药物治疗9例 ,好转出院。 结论 主动脉内带膜支架置入术 。

Objective To study effective treatments of geriatric aortic dissecting aneurysms. Methods Of the 17 patients whose diagnosis were established by UCG,CT and DSA from 1990 to 2003,12 cases were treated medically,of whom there were 3 hospital deaths.Five cases were treatd by implanting stent-graft and turned for better. Results Of the 17 cases,the hospital mortality is 17.6%. Conclusions Our results and documents all showed stent-graft placement could improve the early prognosis of Stanford Type B or DeBakey type C aortic dissecting aneurysm.