主动脉夹层分离25例临床分析

目的　加强对主动脉 (AO)夹层分离的早期诊断和鉴别诊断 ,减少误诊误治 ,改善预后。方法　对 2 5例AO夹层患者的病因、临床特征、误诊及处理情况进行回顾性分析。结果　病因高血压占 68% ,马凡综合征占 12 % ,特征性症状胸、背、腰及腹撕裂样剧痛占 76%。主要误诊心绞痛及心肌梗塞占 16% ,急腹症占 12 % ,误诊率 48% ,死亡 4例 ,占 16%。结论　本病误诊率、死亡率较高 ,重视本病 ,疑诊病例及时行有关检查 ,可减少误诊 ,改善预后。

Clinical analysis of 25 cases of aortic dissection

Objective Aiming at early diagnosis and discrimination of aortic dissection, decreasing worng diagnosis and treatment, improving prognosis.Methods The data of 25 patients with etinology, character, worng diagnosis and treatment of aortic dissection were analyzed from 1993 to 2001.Results In all reasons of aorticdisssection, hypertension is about 68 percent, Marfan's is 12 percent. The mainwrong diagnosis are angina, myocardial infarction and acute abdomen, accountingfor 16 percent and 12 percent respectively. The rate of wrong diagnosis is 48 percent. 4 patients died, accounting for 16 percent.Conclusion Aortic dissection has high rate of wrong diagnosis and death, so attention and inspection of hypochondriasis can decrease wrong diagnosis and improve prognosis.