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主动脉夹层分离14例临床分析
引用本文:张丽华. 主动脉夹层分离14例临床分析[J]. 医学综述, 2008, 14(7): 1116-1116
作者姓名:张丽华
作者单位:辽宁葫芦岛市中心医院心内科,辽宁,葫芦岛,125001
摘    要:
目的探讨主动夹层分离(AD)的临床特点、诊断方法、治疗及预后。方法收集14例AD患者的临床资料,分析其临床特点、诊断方法,内外科治疗方法及其近期预后。结果12例AD患者(为85.7%)首发症状是胸、背、腹等突然出现剧烈疼痛;10例患者(为71.4%)X线片示主动脉或纵隔影增宽;13例患者(为92.8%)超声心动图示典型夹层分离征象;核磁共振成像诊断AD准确性最高(为100%)。内外科治疗总病死率为35.7%。结论核磁共振成像能早期诊断AD患者,积极正确治疗是降低主动脉夹层病死率的关键。

关 键 词:主动脉夹层  诊断  治疗
文章编号:1006-2084(2008)07-1116-01
修稿时间:2007-09-12

Clinical Analysis of 14 cases with Aortic Dissection
ZHANG Li-hua. Clinical Analysis of 14 cases with Aortic Dissection[J]. Medical Recapitulate, 2008, 14(7): 1116-1116
Authors:ZHANG Li-hua
Affiliation:Department of Cardiology;Central Hospital of Huludao Liaoning;Huludao 125001;China
Abstract:
Objective To study the clinical manifestation,diagnostic methods,therapy and prognosis of aortic dissection.Methods Clinical data of 14 cases with AD were collected and then,their clinical manifestation,diagnostic methods,internal or surgical therapy,and their prognosis in the near future were analyzed.Results The first symptoms of 12(85.7%)patients were violent pain in chest,back and belly.X-ray of 10 cases(71.4%)showed widened aorta and mediastinum.The typical sign of aortic dissection were found in 13(92...
Keywords:Aortic disease  Diagnosis  Therapy  
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