论文部分内容阅读
目的:探讨主动脉夹层患者误诊的原因,提高主动脉夹层患者的早期诊断率,为及时、正确救治患者生命提供有力的科学依据。方法:回顾性分析3例主动脉夹层患者实际诊断与误诊的情况,查明误诊原因。结果:3例主动脉夹层患者经检查后证实,1例误诊为急性食道撕裂伤或消化性溃疡,占33.33%;1例误诊为急腹症,占33.33%;1例误诊为急性颅内病变,占33.33%。结论:积极评估其病情的危险程度,监测生命体征,快速建立静脉通道,同时仔细询问相关病史,认真查体,积极采取相应辅助检查,可降低误诊率。
Objective: To investigate the causes of misdiagnosis in patients with aortic dissection, improve the early diagnosis rate of patients with aortic dissection and provide a strong scientific basis for the timely and correct treatment of patients’ lives. Methods: Retrospective analysis of 3 cases of aortic dissection in patients with actual diagnosis and misdiagnosis, to identify the causes of misdiagnosis. Results: 3 cases of aortic dissection confirmed by examination, 1 case misdiagnosed as acute esophageal laceration or peptic ulcer, accounting for 33.33%; 1 case misdiagnosed as acute abdomen, accounting for 33.33%; 1 case misdiagnosed as acute intracranial Lesions, accounting for 33.33%. Conclusion: To evaluate the risk of disease, monitor the vital signs and establish the venous access quickly. At the same time, we should carefully ask the related medical history, carefully check the body and actively take appropriate auxiliary examinations to reduce the rate of misdiagnosis.