主动脉夹层110例临床分析

目的：探讨主动脉夹层（AD）的易患因素、临床表现、诊疗和预后的影响因素。方法：回顾性分析110例AD患者的临床资料。结果：AD发病率呈上升趋势。79例（71，8％）为DeBakey Ⅲ型夹层；80例（72．7％）合并高血压病；CTA和MRI诊断率均为100％。急性期死亡15例（13．7％），平均在4．5d内。21例（19．1％）行介入支架治疗，术中和术后近期均未发生不良并发症。结论：对疑诊AD者应尽快确诊并合理选择治疗方式，急性期CTA优于MRI，介入支架治疗能明显改善AD患者的生活质量和预后。

Clinical Analysis of 110 Cases With Aortic Dissection

Objective： To investigate the susceptible factors, clinical manifestations, diagnosis, treatment and prognosis of aortic dissection （AD）. Methods： Clinical data of 110 patients with AD were analyzed retrospectively. Results：The incidence of AD was rising in recent years. Among them, 79 cases （71.8%） were De Bakey type Ⅲ and 80 cases （72.7%） were associated with hypertension. The accuracy of CT angiography and MRI in diagnosing AD was 100%. The mortality in acute phase was 13.7% and showed a descending tendency. Stent placement was performed in 21 cases （19. 1%） and no intra-operative or post-operative complications developed. Conclusions：Patients suspected with AD should be diagnosed as early as possible and received appropriate treatment. CT angiography is preferable than MRI in acute phase. The application of stent placement can improve patients＇ life quality and prognosis obviously.