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目的探讨主动脉夹层分离(AD)的临床特点和诊治策略,提高诊治效率。方法对我院2009～2010年12月收治的32例主动脉夹层患者的临床资料进行回顾性分析,总结诊治经验。结果高血压、动脉粥样硬化、结蒂组织病等是导致主动脉夹层的主要原因。内科、外科手术及支架植入治疗1年以上的总有效率为68.8%,有手术指征时应尽快手术治疗。结论早期诊断,采取有效的治疗措施是提高生存率的关键。
Objective To investigate the clinical features, diagnosis and treatment strategies of aortic dissection (AD) and to improve the diagnosis and treatment efficiency. Methods The clinical data of 32 patients with aortic dissection from 2009 to 2010 in our hospital were retrospectively analyzed, and the experience of diagnosis and treatment was summarized. Results Hypertension, atherosclerosis and kyphosis were the main causes of aortic dissection. The total effective rate of internal medicine, surgical operation and stent implantation for more than 1 year was 68.8%. Surgical treatment should be performed as soon as possible. Conclusion Early diagnosis and effective treatment are the keys to improve the survival rate.