主动脉夹层36例临床分析

目的分析主动脉夹层(AD)的主要患病危险因素、临床表现及早期诊断与治疗。方法回顾性总结36例主动脉夹层的临床资料。结果30例(83.3%)以疼痛为主要症状;超声、螺旋CT、MRI诊断AD的敏感性分别为90%、93.8%和100%;综合治疗后存活24例(66.7%),死亡12例(33.3%)。结论主动脉夹层基础疾病主要是高血压,以急性剧烈疼痛为主要症状。超声、CT、MRI检查有助于诊断。本病死亡率高,对高危病例积极外科手术或介入治疗,可能进一步降低患者的病死率。

The clinical analysis of with 36 cases aortic dissection

Objective To analysis the risk factors clinical appearance early diagnosis and treatrment of aortic dissection(AD). Methods Clinical date of 36 patients with aortic dissection were summarized retrospectively. Results Of 36 patients, 30(83.3%) cases characterized by pain. The sensitive of echocardiography, CT and MRI were 90%, 93.8%, 100%. Twenty-four cases(66.7%) survived and 12 cases(33.3%) died after treatment. Conclusions Hypertension are the most common causes of the disease. Acute severe pain is chief complaint of patients with aortic dissection. Echocardiography, CT and MRI are helpful in diagnosing aortic dissection. The mortality of the diseases is high, however, it is possible that active surgical or interventional treatments in high-risk cases further reduce the mortality.