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目的分析并发神经系统损害的主动脉夹层(AD)的临床和影像学特点,以提高对本病的认识。方法回顾性分析12例并发神经系统损害的主动脉夹层患者的临床资料。结果 90%的患者发病前有胸背痛,神经系统表现:12例中偏瘫9例,单下肢瘫1例,双下肢瘫1例,昏迷1例。结论对于合并胸背痛、胸闷、血压不对称等症状的神经系统损害的患者要高度怀疑AD的可能,早期诊断和治疗是降低病死率的关键。
Objective To analyze the clinical and imaging features of aortic dissection (AD) complicated by neurological damage in order to improve the understanding of this disease. Methods The clinical data of 12 patients with aortic dissection complicated by neurological damage were retrospectively analyzed. Results Ninety percent of the patients had chest and back pain before onset. The nervous system showed 9 cases of hemiplegia in 12 cases, 1 case of lower extremity palsy, 1 case of lower extremity palsy and 1 case of coma. Conclusions Patients with neurological deficits complicated by chest and back pain, chest tightness and asymmetrical blood pressure should highly suspect the possibility of AD. Early diagnosis and treatment are the key to reducing mortality.