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目的通过总结分析临床资料,掌握主动脉夹层(AD)的临床特点,提高早期确诊率。方法对我院1998年1月—2008年12月收治的35例AD患者的临床资料进行回顾性分析。结果AD随病变部位不同有各种临床表现。最常见的症状是突然发生胸部、胸背或腹部剧烈疼痛,用强镇痛剂难以缓解,其次是休克症状,但血压基本保持正常。结论尽早诊治可减少病死率。早期诊断的关键是提高临床医生对本病的认识和警惕性,对可疑患者,尽早作影像学检查。磁共振成像(MRI)是诊断AD的“金标准”。亦可采用CT、彩色超声检查。MRI、CT、彩色超声检查各有优势,必要时三种检查方法联用有助于快速诊断。
Objective To summarize and analyze the clinical data to master the clinical features of aortic dissection (AD) and improve the early diagnosis rate. Methods The clinical data of 35 AD patients admitted to our hospital from January 1998 to December 2008 were retrospectively analyzed. Results AD with various parts of the lesion have a variety of clinical manifestations. The most common symptoms are sudden chest, chest or abdomen severe pain, hard analgesics difficult to alleviate, followed by shock symptoms, but the blood pressure remained normal. Conclusion Early diagnosis and treatment can reduce the case fatality rate. The key to early diagnosis is to improve clinicians awareness of the disease and vigilance, suspicious patients as early as possible for imaging studies. Magnetic resonance imaging (MRI) is the “gold standard ” for the diagnosis of AD. Can also be used CT, color ultrasound. MRI, CT, color ultrasound have their own advantages, if necessary, combined with the three methods to help rapid diagnosis.