主动脉夹层18例误诊分析

目的 分析主动脉夹层的误诊情况以提高对该病的认识。方法 选取3l例主动脉夹层中18例误诊病例的相关资料，对临床表现、确诊方法及误诊情况进行回顾性分析。结果 误诊疾病为急性脑血管病、急性心梗、大动脉炎、急腹症、急性肾衰、下肢动脉栓塞、急性胰腺炎、肾性高血压等．总误诊率58％。结论 主动脉夹层病情复杂、进展迅速、误诊率高、预后差。临床医生，特别是非心血管医生应提高对此病的认识，以期早诊断、早治疗。

Misdiagnosis analysis on aorta dissection in 18 cases

Objective To analyze the misdiagnosis of aorta dissection in order to promote the understanding of the disease. Methods 18 misdiagnosed cases of aorta dissection out of 31 cases were selected, and retrospectively analyze its clinical manifestation, diagnostic methods and misdiagnosisconditions. Results The misdiagnosed diseases included acute cerebrovascular disease,acute cardiac infarction, aorta-arteritis,acute abdomen, acute kidney failure, lower arterial thrombosis, acute pancreatitis and renal hypertension etc. The total misdiagnosis rates reached 58%. Conclusion The aorta dissection has complicated conditions, quick progress, high misdiagnosis rates and poor prognosis. Therefore, clinicians,particularly non-cardiovascular-disease experts, should further improve their understahding of the disease in the hope of early diagnosis and treatment.