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主动脉夹层106例的临床分析
引用本文:方永有,陈江斌,熊标. 主动脉夹层106例的临床分析[J]. 心血管康复医学杂志, 2009, 18(3): 279-281. DOI: 10.3969/j.issn.1008-0074.2009.03.31
作者姓名:方永有  陈江斌  熊标
作者单位:武汉大学人民医院,湖北,武汉,430060
摘    要:目的:强化对主动脉夹层(AD)临床特点的认识,提高诊治水平,降低患者病死率。方法:回顾性分析我院106例AD患者的临床资料。结果:AD患者临床表现复杂多变。胸痛+背痛+腰痛104例(98.1%)为最常见症状,主动脉杂音(30.2%)为最常见体征。内科、外科、介入三种治疗方案与患者的好转/治愈率无显著差异(P〉0.05)。结论:对于有主动脉夹层常见临床表现者应及时进行CT等特殊检查,早期确诊,改善预后。

关 键 词:动脉瘤  夹层  高血压  诊断

Clinical analysis of 106 patients with aortic dissection
FANG Yong-you,CHEN Jiang-bin,XIONG Biao. Clinical analysis of 106 patients with aortic dissection[J]. Chinese Journal of Cardiovascular Rehabilitation Medicine, 2009, 18(3): 279-281. DOI: 10.3969/j.issn.1008-0074.2009.03.31
Authors:FANG Yong-you  CHEN Jiang-bin  XIONG Biao
Affiliation:(Renmin Hospital of Wuhan University, Wuhan, Hubei, 430060, China)
Abstract:Objective: To increase the understanding for clinical characters of aortic dissection in order to improve the diagnosis and treatment of aortic dissection. Methods: Retrospectively analyzed the data of 106 patients with aortic dissection. Results: The pain (chest pain+back pain+low back pain) occupied 98.1% and was most symptom in 106 patients with aortic dissection. The murmurs of aorta valva area (30.2%) was sign. The improve/healing rate of medicine, surgery and intervention was no significant difference (P〉0.05). Conclusion: Special examine must early performed for patients with most symptom and most sign of aortic dissection for improve prognosis.
Keywords:Aneurysm dissecting  Hypertension  Diagnosis
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