摘要
目的分析内科治疗主动脉夹层（AD）患者的紧急诊疗方案,为挽救患者生命提供更好的指导。方法回顾性分析本院2010年1月~2013年10月收治的AD患者的临床资料,分析患者的诊断及治疗方法,并了解这些方式对患者预后的影响。结果患者经治疗30 min内,血压及心率控制在正常值范围;入院6 h内,患者收缩压均达到100~110 mm Hg标准,心率均达到60~75/min标准。住院期间8例患者因动脉瘤破裂死亡,1例猝死,治疗总有效率为88.46%。结论 AD因临床表现不典型,容易造成漏诊、误诊,早期诊断且及时合理治疗是改善预后的关键,有利于降低患者的死亡率。
Objective To analyze the emergency internal medical treatment method of aortic dissection so as to provid- ing better guidance for saving patient＇s life. Methods The AD patients accepted and treated in our hospital from Jan- uary 2010 to October 2013 were retrospectively analyzed,and the diagnostic and treatment methods as well as the im- pacts on patient＇s prognosis were analyzed. Results The patient＇s blood pressure and heart rate were controlled in the range of normal value within 30 min of treatment;when admitted within 6 h,patients＇ systolic blood pressure all reached 100-110 mm Hg standard,and heart rates all reached 60-75/min standard.During hospitalization,8 patients died from a- neurysm rupture,and one case of sudden death,the overall treatment effective rate was 88.46%. Conclusion Due to atypical clinical manifestations,aortic dissection likely to cause misdiagnosis.Early diagnosis and timely reasonable treatment are the key to improve the prognosis,which will help reduce mortality of patients.
出处
《中国当代医药》
2014年第9期166-168,共3页
China Modern Medicine
基金
广东省佛山市医学类科技攻关项目(201308343)
关键词
主动脉夹层
临床路径
内科治疗
Aortic dissection
Clinical pathway
Internal medical treatment
