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目的：联合运用主动脉夹层（A D ）的病理分类、分型及分区标准，探讨可以同时满足相关专科医师治疗需求的AD诊断报告模式。方法回顾性分析资料完整的42例AD患者资料，联合应用AD病理分类、DeBakey分型和8分区标准做出诊断报告。结果42例AD患者主动脉各大分支血管均有受累；其中，腹腔干受累率高达35.7％（15／42），右肾动脉受累率达26.2％（11／42）。撕裂内膜瓣形成假腔入口以0、3区发生率最高，出口以5、7区发生率最高。合并症和并发症以胸腔积液为主，高达50.0％（21／42）。结论统一的 AD 诊断报告需要包括 AD分类、撕裂口入口／出口、DeBakey分型、受累主分支血管和合并症、并发症，使其提供的具体信息可以满足内科、外科和介入科治疗的需求。“,”Objective To investigate the model of diagnosing aortic dissection (AD ) by combined use of diagnostic criteria for AD ,which meets the requirements of all relevant specialists at the same time for the treatment of AD cases .Methods Data of 42 patients with AD were retrospectively analyzed .The AD diagnosis was made by combined use of diagnostic criteria for AD , which included pathological classification ,DeBakey typing and eight standards for AD zoning .Results The large branches of the aorta were all involved in 42 cases ,of which the celiac trunk was involved in 15(35.7% ) cases ,the right renal artery in 11(26.2% ) cases .The entrance to the false lumen from teared intima flap mainly distributed in the areas of 0 and 3 ,and the exit distributed in the areas of 5 and 7 .The main comobidities and complications were pleural effusion (50.0% ) .Conclusion The unified report model regarding to the diagnosis of AD should include pathological classification ,tear entrance and exit ,DeBakey type ,the affected main branch vessels ,comobidities and complications to provide an imformation that can meet the requirements of all relevant specialists in the departments of surgery ,internal medicine and interference therapy for the treatment of AD cases .