摘要
目的回顾性分析主动脉夹层临床表现、诊断和治疗。方法总结分析本院9年来主动脉夹层65例。结果18例(28%)入院时有低血压,非低血压有47例(72%)。A型病变为主42例(65%),B型23例(35%)。临床表现多种多样,以胸痛为主。X线胸片、超声、CT和磁共振诊断的敏感性分别为37%、60%、88%和98·2%。经治疗后存活59例(91%),死亡6例(9%)。结论主动脉夹层的形成与诱发因素和各种高危因素有关,是可以预防和治疗的疾病,必须重视对高危因素的干预,及早确诊,积极治疗。
Objective To analyse the clinical manifestation , diagnosis and treatment of aortic dissection （AD） retrospectively. Methods 65 cases with AD hospitalized in our hospital in recent 9 years were analyzed.Results 18 cases （28%） were with hypotension on adrnission,47 cases （72%） with non-hypotension on admission. Classification of type A were in 42 cases （65%） and type B were 23 cases （35%）. The onset manifestations varied, but the chest pain was the majority. The diagnostic sensitivity of X-ray Echocardiography, CT and magnetic resonance imaging （MRI） were 37%, 60%, 88% and 98.2% respectively. 59 cases （91%） survived and 6 cases （9%） died after treatment.Conclusion There are much more causes of aortic dissection, and there are much more predisposing factors of aortic dissection. With increased understanding of aortic dissection, We should be sured that the aortic dissection can be prevented and treated more correctly, its outcome can be improved.
出处
《广西医学》
CAS
2006年第2期192-194,共3页
Guangxi Medical Journal
关键词
主动脉夹层
影像学诊断
预后
Aortic dissection
Imaging diagnosis
Therapy
Prognosis
