主动脉夹层106例的临床分析

目的 探讨主动脉夹层(AD)的患病危险因素、临床表现以及辅助检查对诊断的意义。方法对2001年1月至2004年7月间连续确诊的106例患的临床资料进行回顾性分析。结果106例AD患临床表现多样,胸痛为常见首发表现,部分病例以并发症为首发表现。以X^2分析,以心肌梗死为首发表现的夹层多位于升主动脉,以肩背部为首发疼痛累及腰腹或下肢,夹层多位于降主动脉。高血压是导致AD发生的常见原因。超声、螺旋CT和MRI三种技术联合应用有助于快速诊断和定位。结论AD症状呈多样性,患的症状与夹层破口有一定的联系。AD的形成与高血压有明显相关性。

The clinical analysis of with 106 cases aortic dissection

Objective To explore the risk factors clinical appearance and examination methods of aortic dissection (AD).Method The clinical data of 106 AD patients admitted from the January, 2001 to July, 2004 were retrospectively reviewed.Results The symptoms and physical signs of the 106 AD patients were diverse. Chest pain was a common initial symptoms but some patients initial symptoms were atypical. The origins of AD was in ascending aorta when patients had clinical appearance mimicking myocardial infarction, and in descending aorta when patients had pain involving shoulders, dorsum, waist, abdomen or lower limbs. Hypertension was the most important cause of AD. The combination use of echocardiography, CT and MRI may help to make rapid diagnosis.Conclusions The symptoms and physical signs of AD were diverse. Clinical symptom had some relationship with the origin of AD, the form of AD and hypertension had obvious relations. An obvious correlation exited between the occurrence of AD and hypertension.