主动脉夹层56例临床分析

目的：讨论主动脉夹层的诊断与治疗。方法：回顾56例主动脉夹层（AD）患者的诊治情况，结合文献复习，探讨主动脉夹层的诊断与治疗。结果：主动脉夹层例数明显增加，死亡率较前有显著下降。结论：高血压、马凡氏综合征是主动脉夹层常见原因，胸痛、背痛为常见首发症状。CT、MRI、动脉造影均是确诊本病的重要影像检查手段。内科保守治疗可为外科手术和／或介入治疗赢得时间，大动脉覆膜支架植入术效果确切，应用前景良好。

The Analysis of 56 Cases with Aorta Dissection

Objective：To discuss the diagnosis and therapy of aorta dissection. Method：Reviewing the information of 56 eases with aorta dissection treated in our hospital from January, 2003 to June, 2008, combined with literature, approach to the diagnosis and therapy of aorta dissection. Results ：The cases with aorta dissection are increasing, but the death rate is significant decreasing. Conclusion：The common causes of aorta dissection is hypertension and arachnodactyly, the most common symptoms include chest pain or backache, the important imageology method to diagnose aorta dissection, including CT, MRI and Arteriography. Expectant treatments in medical department may get opportunity for surgical intervention and/or interventional therapy, stent-graft implantation in large artery has certain effect to be with fine perspective application.