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1病例资料患者,女,37岁,孕1产0,停经28周,因“突发前胸及左侧颈部疼痛4d”入院。11月19日上午无明显诱因突然出现前胸及左侧颈部牵拉痛,程度剧烈,伴大汗、烦躁、胸闷、呼吸困难、呕吐症状,持续30min后自行口服去痛片,症状逐渐缓解。次日晨起时再发上述症状,急诊于当地医院,予以止痛等对症治疗后来我院就诊,门诊行心脏彩超提示主动脉夹层(AD)。既往无高血压、心脏病等病史,无吸烟、嗜酒
1 case data patients, female, 37 years old, pregnant and 1 producing 0, 28 weeks after menopause, due to “sudden chest and left neck pain 4d ” admission. On the morning of November 19, there was no obvious incentive to pull the pain in the chest and the left neck suddenly. The degree was drastic, accompanied by sweating, irritability, chest tightness, dyspnea and vomiting. After 30 minutes of continuous oral pain-relieving tablets, the symptoms gradually eased . The next morning when the onset of the above symptoms, emergency in the local hospital, to be symptomatic treatment of pain and later in our hospital, outpatient cardiac hypertrophy prompted aortic dissection (AD). No previous history of hypertension, heart disease, no smoking, alcohol