伴发脑血管意外症状的主动脉夹层

目的分析主动脉夹层(AD)合并脑血管意外的病因及临床表现,探讨其机制,提高临床医生对该病的认识.方法结合文献对1例以脑血管意外为首发症状的AD进行临床分析.结果资料显示主动脉夹层合并脑血管意外的发病率为8.70%;以脑血管意外为首发症状的AD占6.73%;误诊为脑血管意外占误诊率的5.01%(20/399).结论对于合并突发疼痛、晕阙或休克的脑血管病患者,应及时行进一步检查,以除外伴发脑血管意外的AD.

Aortic dissection with cerebrovascular disorders

Objective:To analyze the causes and clinical manifestations of aortic dissection(AD)with cere-brovascular disorders and to explore the pathegenesis of the disease for further understanding of it.Methods:Clini-cal characteristics were analyed with review of the literature in one case of AD with cerebrovascular disorders.Re-sults:The study indicated the incidence rate of AD with cerebrovascular disorders was8.70%.AD which first symptom was cerebrovascular disorders were6.73%.The misdiagnosed rate of with cerebrovascular disease were5.01%in total misdiagnosed rate.Conclusions:The patients of cerebrovascular disease with acute onset of pain,syncope and shock should be further examined inorde to exclude AD cerebrovascular disorders.