主动脉夹层临床特点分析

目的分析主动脉夹层(AD)临床特点,加强基层临床医师对其认识,做到早诊断、早治疗。方法对47例AD患者的临床资料进行回顾性分析。结果高血压、动脉粥样硬化是AD的危险因素,发病前常有诱因,AD临床表现复杂多样,死亡率高。结论在高血压病或动脉粥样硬化基础上,短时可使心率加快,左室射血增加并对主动脉壁冲击力增加等因素可诱发AD,疼痛是其主要临床表现,结合彩超、CT、MRI可尽早确诊。

Analysis of clinical features of aorta dissection(AD)

Objective Analysis of clinical feature of aorta dissection(AD),of which will be albe to well recognized by the clinical doctors.So the diagnosis and treatment of AD could be perfomed early.Methods To analyze clinical data of 47 cases patients with AD.Results The risk factors of AD are the high blood pressure and atherosclerosis.The causes are often common before onset of AD.There are complicate and variable in the clinical behave of AD.The rate of death on AD is higher.Conclusion The causes of onset of AD are based on high blood pressure and antherosclerosis,which result in tachycardia in a short stage,an increase in output of left ventricle and the impulse of arterial wall.The major clinical behave of AD is the pain in the thorax.Color echocardiography,CT and MRI are helpful in the diagnosis of AD.