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目的讨论胸主动脉夹层动脉瘤误诊的原因和减少误诊的措施。方法对云南省大理州人民医院2003-03-2009-07收治、最后确诊胸主动脉夹层动脉瘤的37例病例进行回顾性的分析。结果 37例中首诊误诊的有29例,误诊率是72%。未行手术的23中,其中死亡14例。结论胸主动脉夹层动脉瘤起病急,误诊率、病死率都高,加强对本病的认识,注意疾病的鉴别,可降低本病的误诊率。
Objective To discuss the causes of misdiagnosis of thoracic aortic dissecting aneurysms and to reduce the misdiagnosis measures. Methods A retrospective analysis was performed on 37 cases of thoracic aortic dissecting aneurysms admitted to Dali People’s Hospital of Yunnan Province from March 2003 to January 2009. Results Of the 37 cases, 29 cases were misdiagnosed as first diagnosis, and the rate of misdiagnosis was 72%. Of the 23 patients who did not undergo surgery, 14 died. Conclusions The incidence of acute, misdiagnosed, and fatal cases of thoracic aortic dissection aneurysms is high, and the awareness of this disease is enhanced. Attention should be paid to the identification of the disease to reduce the misdiagnosis rate of this disease.