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目的探讨彩色多普勒超声诊断急性主动脉夹层的临床价值。方法收集2012年2月至2014年5月我院收治的30例急性主动脉夹层患者资料,对彩色多普勒超声检查结果进行回顾性分析。结果 30例患者行彩色多普勒超声检查发现,2例误诊,28例患者均为急性主动脉夹层。De Bakey分类:Ⅰ型18例,Ⅱ型3例,Ⅲ型7例。经检查发现6例患者出现内膜破口,合并心包积液9例,主动脉瓣中量反流11例。结论彩色多普勒超声可作为急性主动脉夹层的首选诊断方法。
Objective To investigate the clinical value of color Doppler ultrasound in the diagnosis of acute aortic dissection. Methods The data of 30 patients with acute aortic dissection who were admitted to our hospital from February 2012 to May 2014 were collected. The results of color Doppler ultrasound were retrospectively analyzed. Results 30 patients underwent color Doppler ultrasound examination found that 2 cases were misdiagnosed, 28 patients were acute aortic dissection. De Bakey classification: Ⅰ type 18 cases, Ⅱ type 3 cases, Ⅲ type 7 cases. After examination found that 6 patients with endometrial debridement, combined pericardial effusion in 9 cases, aortic valve in 11 cases of moderate reflux. Conclusion Color Doppler ultrasound can be used as the first choice for diagnosis of acute aortic dissection.