摘要
目的：进一步了解主动脉夹层动脉瘤的早期诊断及处理要点。方法：回顾总结近７年收治２４例主动脉夹层动脉瘤临床资料，并结合文献分析。结果：有高血压史占５２２％，８７５％患者出现剧痛，其中６６６％为胸痛。经Ｘ线胸片等影像学检查，并结合临床症状确诊。紧急治疗后１５例好转出院，２例放弃治疗，７例死亡。结论：对突发性胸痛且伴心、血管杂音、四肢血压不等患者，应用非侵入性影像学检查特别是ＭＲＩ有助早期诊断。
OBJECTIVE: To probe early diagnosis and management of aortic dissecting aneurysm. METHODS: Data of 24 cases of aortic dissecting aneurysm for the past 7 years was analysed. RESULTS: 52 2% patients had history of hypertension. 87 5% complained of acute pain, which 66 6% were chest pain. All patients had comfirmed diagnosis of dissecting aneurysm according to clinical manifestation and x-ray examination. 15 patients recovered after emergency management. 2 gave up treatment and 7 died. CONCLUSIONS: The application of radiological examination especially MRI for patients with sudden chest pain complicated by cardiovascular murmur, inequality of blood pressure between four limbs is helpful for early diagnosis, treatment and reducing mortality.
出处
《九江医学》
1998年第2期71-73,共3页
Jiujiang Medical Journal
关键词
主动脉夹层动脉瘤
诊断
治疗
aortic dissecting aneurysm
diagnosis
treatment
