摘要
【目的】探讨主动脉夹层的临床特点和诊治。【方法】回顾性总结84例主动脉夹层的临床资料。【结果】61例(76.2%)急起发病,70例(83.3%)以疼痛为主要症状,76例(90.5%)有确切的基础疾病,其中41例(48.8%)为高血压病,23例(27.4%)为马凡综合征。68例行心脏及主动脉彩色B超检查,49例发现主动脉夹层病变,检出率72.1%;58、15和5例分别行CT、MRI和主动脉造影检查,检出率均为100%。57例内科保守治疗,27例外科手术治疗,治愈23例,好转出院49例,死亡12例,病死率14.3%。【结论】主动脉夹层以急起剧烈疼痛为主要症状,基础疾病主要为高血压病和马凡综合征。B超、CT、MRI检查有助于明确诊断。本病病死率高,对高危病例积极外科手术或介入治疗,可能进一步降低患者的病死率。
[Objective]To explore the clinical features, diagnosis and therapy of aortic dissection. [Methods]Clinical data of 84 patients with aortic dissection were summarized retrospectively. [Results]Of 84 patients, 61（76.2%） cases developed diseases acutely; 70（83.3% ） cases characterized by pain.. 76（90.5% ） cases were found definite underlying diseases including41（48.8% ）cases with hypertension and 23（27.4% ） cases with Marfan＇s syndrome. 49（72.1% ） in 68 cases pathological changes of aortic dissection were observed in Bultrasonography of heart and aorta. Fifty-eight（ 100%） in 58 cases, 15 （ 100 % ） in 15cases and 5 （ 100 % ） in 5 cases were diagnosed by CT, MRI and percutaneous transluminal aortic angiography respectively. Fifty-eight cases were treated by drugs and 27 cases by surgical methods among 84 patients. Twenty-three cases were cured,49 cases were out of hospital with improved conditions and 12 cases were dead with the mortality rate of 14.0%. [Conclusion]Acute severe pain is chief complaint of patients with aortic dissection. Hypertension and Marfan＇s syndrome are the most common causes of the diseases. B-uhrasonography, CT and MRI are helpful in diagnosing aortic dissection, The mortality of the diseases is high, however, it is possible that active surgical or interventional treatments in high-risk cases further reduce the mortality.
出处
《医学临床研究》
CAS
2005年第9期1257-1259,1262,共4页
Journal of Clinical Research
关键词
动脉瘤
夹层
主动脉疾病
aneurysm,dissecting
aortic diseases
