无痛型主动脉夹层动脉瘤破裂死亡一例的误诊分析

背景 ]无痛型主动脉夹层动脉瘤罕见 ,在临床上易误诊 ,常需进行尸检确定 .病例报告 ]以头晕、双下肢乏力 ,偶伴有胸闷、气急为主诉而入院的老年患者 1例 ,入院诊断为I级高血压、冠状动脉性心脏病、心律不齐、脑梗死 ,给予降压、扩冠、对症等治疗 .入院第 3d在卫生间突然死亡 ,通过尸检发现死因为主动脉夹层动脉瘤破裂 .讨论 ]主动脉夹层动脉瘤破裂主要通过尸检分析确诊 ,但也可通过进行彩色B型超声波、CT、核磁共振检查来减少误诊 .

Analysis of 1 case of miss-diagnosis for the sudden death of rupture of non-pain aortic dissecting aneurysm

BACKGROUND?Non-pain aortic dissecting aneurysm is rarely seen and easily miss-diagnosed in the clinic, and it is required to be autopsy because of sudden death.?CASE REPORT?A senile patient, who was admissed with the chief complaints of dizziness, asthenia of bilateral membrum inferius, chest distress and short breath by chance, was treated with lowering blood pressure, dilating coronary artery and expectant treatment by the diagnosis of hypertension, coronary heart disease, arrhythmia and brain infarct. The patient was suddenly died in the toilet after 3 days of admission and the cause of sudden death was the rupture of aortic dissecting aneurysm by autopsy.?DISCUSSION?The cause of death in this case was diagnosed by autopsy, but the miss-diagnosis will be decreased through the examination of color ultrasonic cardiogram, computerized tomography and nuclear magnetic resonance imaging.