高血压合并主动脉夹层18例临床分析

目的探讨高血压合并主动脉夹层（AD）的临床特点、早期诊断及治疗对策。方法对18例确诊为高血压合并AD患者进行回顾性分析。结果高血压合并主动脉夹层患者临床表现多样,以急性胸痛为常见首发表现,少部分以并发症为首发表现,误诊率高达33.3%。超声心动图、增强CT和（或）MRI联合应用有助于快速诊断。结论AD临床表现呈多样性,易误诊、漏诊,及时诊断并合理地内科治疗是改善预后的关键,必要时行外科手术或支架置入术更加有利于降低患者病死率。

Clinical analysis of 18 cases with aortic dissection caused by hypertension

Objective To investigate the clinical character,diagnosis and treatment of aortic dissection(AD)caused by hypertension.Methods Clinical data of 18 patients with AD admitted from the January 2005 to July 2009 were analyzed retrospectively.Results The symptoms and physical signs of 18 AD patients caused by hypertension were diverse.Acute chest pain was the most common initial symptom,however,complications emerged firstly in the minority of AD patients.The rate of misanalysis was up to 33%.Combined use of echo...