主动脉夹层分离19例临床分析

目的探讨主动脉夹层的易患因素、临床特点、诊断方法，以提高对该病的认识。方法回顾性分析19例主动脉夹层分离患者的临床资料及治疗情况。结果剧烈疼痛是最主要的首发症状（89．5％）。内科药物治疗12例，死于休克1例，猝死1例；应用外科手术治疗4例均好转，血管内带膜支架治疗3例均好转。病死率10．5％。结论快速、及时、有效的诊断和治疗是提高生存率的关键。

Clinical Analysis on 19 Cases of Aortic Dissection

Objective To explore the risk factor,clinical symptoms,diagnosis and treatment of aortic dissection, Methods The clinic data of 19 patients with aortic dissection were retrospectively analyzed, Results Most common initial symptom was severe pain（89, 5% ）. 12 patients were treated with medicine,2 patients died（ 1 from shock and 1 from sudden death）. 4 patients were treated with operation and were all cured. 3 patients were treated with Endovaseular stent - graft （ESG） and were all improved. The mortality was 10. 5 %. Conclusions Expedient confirmatory diagnosis and prompt therapy are crucial in achieving a successful outcome.