伴腹痛急性主动脉夹层误诊分析

目的：探讨伴腹痛急性主动脉夹层（AAD）的误诊原因及早期诊断策略。方法：回顾性分析21例伴腹痛AAD误诊患者的临床资料。结果：首诊确诊8例,误诊13例（61.9%）,其中误诊为胰腺炎7例。治愈18例,死亡3例。结论：伴腹痛AAD缺乏特异性的临床表现、容易误诊。临床医师应加强对本病的认识,结合实验室检查及影像学检查,可提高诊断率。

Misdiagnosis analysis of acute aortic dissection(AAD) with abdominal pain

Objective：To explore the causes of misdiagnosis and early diagnostic strategy for acute aortic dissection（AAD） with abdominal pain.Methods：The clinical data of 21 cases AAD patients with abdominal pain were analyzed retrospectively.Results：8 cases were diagnosed in first visiting.13 cases were misdiagnosed including 7 cases were misdiagosed as pancreatitis.18 cases were cured and 3 cases died.Conclusion：The AAD with abdominal pain lack specificity clinical manifestation,misdiagnosed easily.Clinician should strengthen understanding to the disease.Combining clinical manifestation with laboratory examination and the image findings may enhance the diagnosis rate.