CAJ | 학술논문

目的：探讨主动脉夹层动脉瘤的临床特点、诊断和治疗措施。方法：回顾分析11例主动脉夹层动脉瘤患者的临床资料，包括基础疾病、临床表现、实验室检查、治疗方法和预后。结果：11例主动脉夹层动脉瘤患者的基础疾病包括高血压、糖尿病、马凡氏综合症和妊娠；主要临床表现有胸痛、心悸、气短，血压升高、心动过速、心脏杂音；胸片、CT扫描、超声心动图可见主动脉扩张、主动脉内膜撕裂、出血等。11例患者均采用内科保守治疗，主要治疗措施是控制血压和心率，其中3例死亡，1例转院，7例存活。结论：主动脉夹层动脉瘤发病急、病情进展快、死亡率高，早期诊断和治疗是降低死亡率的关键。
목적：탐토주동맥협층동맥류적림상특점、진단화치료조시。방법：회고분석11례주동맥협층동맥류환자적림상자료，포괄기출질병、림상표현、실험실검사、치료방법화예후。결과：11례주동맥협층동맥류환자적기출질병포괄고혈압、당뇨병、마범씨종합증화임신；주요림상표현유흉통、심계、기단，혈압승고、심동과속、심장잡음；흉편、CT소묘、초성심동도가견주동맥확장、주동맥내막시렬、출혈등。11례환자균채용내과보수치료，주요치료조시시공제혈압화심솔，기중3례사망，1례전원，7례존활。결론：주동맥협층동맥류발병급、병정진전쾌、사망솔고，조기진단화치료시강저사망솔적관건。
Objective:To investigate the clinical characteristics, diagnosis and treatment of aortic dissecting aneurysm. Methods:The clinical data including basic diseases, clinical manifestation, laboratory examination, treatment and prognosis of 11 aortic dissecting aneurysm patients were retrospectively analyzed.Results:The basic diseases of 11 cases aortic dissecting aneurysm included hypertension, diabetes mellitus, Marfan’s syndrome and pregnancy. The main clinical manifestations were chest pain, palpitation, shortness of breath, elevation of blood pressure, tachycardia and cardiac souflfe. Chest X-ray, CT and ultrasonic cardiogram showed aorta dilation, aortic intimal tear and bleeding. All the 11 patients were all treated with medicine only, the main treatment measures were controlling blood pressure and heart rate. Then, 3 patients died, 1 patient transferred to other hospital, and the other 7 patients stayed alive. Conclusions:The characteristics of aortic dissecting aneurysm are acute onset, speedy development and high lethal rate;early diagnosis and treatment is the key to reduce mortality.