大家健康(下旬版)
大傢健康(下旬版)
대가건강(하순판)
FOR ALL HEALTH
2013年
12期
64-64
,共1页
主动脉瘤%误诊%防范
主動脈瘤%誤診%防範
주동맥류%오진%방범
aortic aneurysm%misdiagnosis%protection
主动脉瘤误诊率高,临床医师对本病不够熟悉并且临床表现不典型,对高危患者(年龄>60岁、家族中有发生腹主动脉瘤破裂病史,或有高血压或吸烟史)采用腹部超声检查作为发现腹主动脉瘤的筛选方法及对怀疑主动脉瘤的病情危急病人行腹部超声,在给予充分的支持疗法、输血、输液等抗休克治疗的同时争取手术剖腹探查,可以减少主动脉瘤误诊。
主動脈瘤誤診率高,臨床醫師對本病不夠熟悉併且臨床錶現不典型,對高危患者(年齡>60歲、傢族中有髮生腹主動脈瘤破裂病史,或有高血壓或吸煙史)採用腹部超聲檢查作為髮現腹主動脈瘤的篩選方法及對懷疑主動脈瘤的病情危急病人行腹部超聲,在給予充分的支持療法、輸血、輸液等抗休剋治療的同時爭取手術剖腹探查,可以減少主動脈瘤誤診。
주동맥류오진솔고,림상의사대본병불구숙실병차림상표현불전형,대고위환자(년령>60세、가족중유발생복주동맥류파렬병사,혹유고혈압혹흡연사)채용복부초성검사작위발현복주동맥류적사선방법급대부의주동맥류적병정위급병인행복부초성,재급여충분적지지요법、수혈、수액등항휴극치료적동시쟁취수술부복탐사,가이감소주동맥류오진。
aneurysm misdiagnosis rate is high ,the clinician to not familiar with this disease and clinical manifestation is not typical ,for high -risk patients (age>60 years old ,in the family has a history of abdominal aortic aneurysm rupture occurred ,or have high blood pressure or a history of smoking ) using abdominal ultrasound as found abdominal aortic aneurysm screening methods and for suspected aortic aneurysm patients in critical con-dition of abdominal ultrasound ,with adequate support therapy ,blood transfusion ,infusion for laparotomy surgery at the same time ,anti -shock treatment can reduce aortic aneurysm misdiagnosis .