主动脉壁间血肿的诊疗进展

主动脉壁间血肿是临床较少见的一种急性冠脉综合征类型，其病因复杂，发病机制尚未统一，但与主动脉壁内滋养血管自发破裂出血或主动脉壁梗塞等不无关系。本病临床表现以急性胸背痛为主，部分患者可能表现为腹痛或无明显症状。CT主动脉造影常为首选检查方法，螺旋CT平扫及MRI诊断本病的敏感度及特异度均较高。治疗上包括药物保守治疗、手术治疗及介入治疗，对不同病期及发病特点的患者应采用不同治疗手段，行积极治疗后转归及预后较好。

Advances in the diagnosis and treatment of aortic intramural hemorrhage.

Aortic intramural hemorrhagc is a rare clinical acute coronary syndrome type. Its etiology is complicated, and pahhogcnesis has not been uniform. However, it is related to the spontaneous rupture of blood vessels to nourish or aorta and aortic wall infarction, etc. The clinical manifestations of this disease mainly include acute chest pain, and some patients may manifest abdominal pain or no obvious symptoms. CT angiography is often taken as the first choice for examination, and spiral CT scan and MRI diagnostic has relatively high sensitivity and specificity. Treatment includes conservative treatment, surgery and interventional treatment. For patients with different clinical characteristics of disease, different Ireatments should be applied. The outcome and prognosis is good after positive treatments.