| 以神经系统损害为临床表现的主动脉夹层12例分析 |
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| 引用本文： | 徐磊,熊琴,聂本刚,蒋世杰,喻明,顾成武. 以神经系统损害为临床表现的主动脉夹层12例分析[J]. 四川医学, 2012, 33(2): 255-257 |
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| 作者姓名： | 徐磊 熊琴 聂本刚 蒋世杰 喻明 顾成武 |
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| 作者单位： | 1. 遂宁市中心医院神经内科,四川遂宁,629000
2. 遂宁市第三人民医院内科,四川遂宁,629000 |
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| 摘 要： | 目的探讨主动脉夹层患者的神经系统损害表现,为早期诊断并治疗提供临床思路。方法对我院2008年1月～2011年5月收治的主动脉夹层合并神经系统损害患者12例的临床资料进行回顾性分析。结果主动脉夹层的神经系统损害主要表现为意识障碍者4例,单侧下肢瘫痪2例,截瘫2例,头晕、头痛2例,晕厥1例,偏瘫1例。结论主动脉夹层出现神经系统损害者常见,临床工作中需要高度警惕,减少误诊发生。
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| 关 键 词： | 主动脉夹层 神经系统损害 临床表现 回顾性分析 |
An analysis on aortic dissection characterized by neural dysfunction in 12 cases |
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| Affiliation: | XU Lei 1,XIONG Qin 2,NIE Ben-gang 1,et al.1.The Central Hospital of Suining,Suining,Sichuan 629000;2.The Third People’s Hospital of Suining,Suining,Sichuan 629000,China |
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| Abstract: | Objective To explore the clinic features of aortic dissection(AD) characterized by neural dysfunction,and to explore the early diagnosis and therapy of aortic dissection.Methods The retrospective analysis was made to the clinical data of 12 cases aortic dissection with characteristic of neural dysfunction,which was collected from January of 2008 to May of 2011.Results The appearance of AD cases with damage in nervous system: Conscious disturbance in 4cases and single inferior extremity in 2 cases.2 cases were paraplegina.Dizziness and headache was found in 2 cases.Apopsychia and semiplegia appeared in 1 case each.Conclusion It is popular for aortic dissection to manifest neural dysfunction.Physicians should be vigilance to it,reduce misdiagnosis. |
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| Keywords: | aortic dissection neural dysfunction clinical manifestation retrospective analysis |
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