主动脉夹层29例临床分析

目的:探讨主动脉夹层的病因、临床特点、治疗方法及预后。方法:回顾性分析本院主动脉夹层患者29例临床资料。结果:中老年患者多由高血压引起(18/24),青年患者主要以马凡氏综合症引起(3/5),大部分患者临床表现为胸痛、腹痛,少部分表现为晕厥、腹部搏动性包块、胸腔积血等。内科药物治疗12例中好转出院10例,死亡2例;动脉腔内隔绝术10例中治愈10例;手术治疗7例中治愈5例,死亡2例。结论:主动脉夹层是少见和危险的疾病,高血压是引起中老年人主动脉夹层的主要因素,青年人主动脉夹层主要由马凡氏综合症引起。早期诊断和积极治疗可挽救病人生命。

The Clinic Analysis of 29 Patients with Aortic Dissection

Objective: To explore the etiology, clinical features, diagnoses, treatments and prognoses of aortic dissection(AD). Methods: Clinical data of 29 patients with AD were summarized retrospectively in the hospital. Results: In elder patients, hypertension(18/24)is the most common cause of the diseases, but Marfan's syndrome(3/5) in young ones. The clinical symptoms of the most patients were violent pain in chest and belly, but in some of them, syncope, pulsatory abdominal mass and hemothorax were often seen. 12 patients were treated by medicine, 2 of them died and the others were discharged from hospital after recovery. 10 patients accepted endovascular graft exclusion and all of them survived. 5 patients were cured by surgery, but 2 patents were dead. Conclusion: AD is a rare and dangerous disease. Hypertension and Marfan's syndrome are the main causes of the disease in elder and young patients. Early diagnose and correct treat are the key for reducing fatality rate of patient with AD.