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目的:总结急性主动脉夹层误漏诊情况,探讨原因及预防方法。方法:全部误漏诊患者经超声心动图或螺旋CT或磁共振成像检查确诊。结果:内科治疗13例,死亡6例;外科治疗5例,其中3例术中死亡。结论:本病具有起病急、发展快、其临床表现多种多样缺乏特异性等特点,病死率及误漏诊率高,首诊医师应思路宽,细询问病史及必要的体格检查,选择合适的相关检查。
Objective: To summarize the situation of misdiagnosis of acute aortic dissection, to explore the reasons and prevention methods. Methods: All missed patients were diagnosed by echocardiography or spiral CT or magnetic resonance imaging. Results: 13 cases were treated by internal medicine and 6 died. Surgical treatment was performed in 5 cases, of which 3 cases died during operation. Conclusion: The disease has the characteristics of acute onset, rapid development, its clinical manifestations of a variety of non-specific lack of specificity, mortality and misdiagnosis rate, the first physician should be thoughtful, ask the medical history and the necessary physical examination, choose the right Related inspection.