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主动脉夹层35例临床分析
引用本文:牛君义,武慧强.主动脉夹层35例临床分析[J].内蒙古医学杂志,2012,44(4):435-437.
作者姓名:牛君义  武慧强
作者单位:1. 内蒙古医学院附属医院急诊科,内蒙古呼和浩特,010050
2. 内蒙古自治区中蒙医医院,内蒙古呼和浩特,010020
摘    要:目的:分析主动脉夹层(AD)的临床诊断和治疗情况,提高对该病的认识,减少误诊.方法:对2009年1月~2010年3月我院收治的35例确诊AD患者的临床资料进行回顾性分析.结果:35例AD患者临床表现多样,剧烈胸痛为常见首发表现,并且超声、螺旋CT两种技术联合应用有助于快速诊断.结论:提高对AD的认识,详细询问病史和认真体格检查,及时行有效辅助检查,对AD的早期诊断与治疗,降低病死率,改善预后尤为重要.

关 键 词:主动脉夹层  诊断  治疗  误诊

Clinical Analysis of 35 Cases of Aortic Dissection
NIU Jun-yi , WU Hui-qiang.Clinical Analysis of 35 Cases of Aortic Dissection[J].Inner Mongolia Medical Journal,2012,44(4):435-437.
Authors:NIU Jun-yi  WU Hui-qiang
Institution:1.The Affiliated Hospital of Inner Mongolia Medical College,Hohhot 010010 China;2.The Chinese-Mongolian Hospital of Inner Mongolia,Huhhot 010010 China)
Abstract:Objective:To analyze the clinical diagnostic and therapeutic approaches outcomes of aortic dissection(AD),To enhance the level of understanding and reduce the rate of misdiagnosis for aortic dissection.Method:From January 2009 to March 2010,35 cases of patients with AD clinical data were retrospectively analyzed.Results:Of the 35 patients,the clinical symptoms were diversiform.Most common initial symptom was severe pain in chest.Definite diagnosis could be speedily made by color Doppler ultrasound and post-enhanced spiral CT scan.Conclusion:Must to enhance the level of understanding for aortic dissection.Asking for details of the history and doing serious medical examination,and timely effective auxiliary examination were especially important for the early diagnosis and treatment of AD,for reducing mortality and improving the prognosis.
Keywords:Aortic dissection  Diagnosis  Treatment  Misdiagnosis
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