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目的:分析主动脉夹层(AD)的临床诊断治疗情况,提高对该病的认识,减少误诊。方法:对20例主动脉夹层患者的病因、临床表现,误诊原因及预后等资料进行回顾性分析。结果:12例病情稳定后出院,2例死于夹层破裂,1例死于心包填塞;5例转外院后行支架治疗4例,其中3例痊愈,1例死亡,1例保守治疗好转出院。结论:主动脉夹层多以剧烈胸痛为主要表现,疑及AD时,及时行有效检查,尽早明确诊断并积极治疗,降低病死率,改善预后。
Objective: To analyze the clinical diagnosis and treatment of aortic dissection (AD), improve the understanding of the disease and reduce the misdiagnosis. Methods: The etiology, clinical manifestations, causes of misdiagnosis and prognosis of 20 patients with aortic dissection were analyzed retrospectively. Results: Twelve patients were discharged after stable condition, 2 died of dissection, and 1 died of pericardial tamponade. Among the 5 cases, 4 cases were treated with stent outside the hospital and 3 cases were cured. One case died and one case received conservative treatment. Conclusion: The aortic dissection is mostly characterized by severe chest pain. When AD and AD are suspected, timely and effective examination can be made. As soon as possible, a clear diagnosis and active treatment should be made to reduce the case fatality rate and improve the prognosis.