心血管病防治知识（下半月）
心血管病防治知識（下半月）
심혈관병방치지식（하반월）
XINXUEGUANBING FANGZHI ZHISHI
2014年
4期
41-43
,共3页
主动脉综合症%穿透性主动脉溃疡%主动脉夹层%壁内血肿
主動脈綜閤癥%穿透性主動脈潰瘍%主動脈夾層%壁內血腫
주동맥종합증%천투성주동맥궤양%주동맥협층%벽내혈종
Aortic syndrome%Penetrating aortic ulcer%Aortic dissection%Intramural hematoma
目的：探讨急性主动脉综合症的临床特征。方法回顾性分析我院收治的100例急性主动脉综合症患者的临床资料，并分析其临床特征。结果：100例患者中，穿透性主动脉溃疡8例，主动脉夹层患者83例，胸主动脉瘤破裂3例，主动脉壁内血肿5例；磁共振成像显示阳性90.9%；行外科手术75例，存活率为62%；保守治疗25例，病死率为12%。结论急性主动脉综合症主要表现为主动脉夹层，另外还包括穿透性主动脉溃疡、主动脉壁内血肿以及胸主动脉瘤破裂，在临床特征上，后三者与主动脉夹层类似，磁共振成像对急性主动脉综合症的诊断特异性与敏感性均较强，要根据不同的病变部位采取不同的治疗措施。
目的：探討急性主動脈綜閤癥的臨床特徵。方法迴顧性分析我院收治的100例急性主動脈綜閤癥患者的臨床資料，併分析其臨床特徵。結果：100例患者中，穿透性主動脈潰瘍8例，主動脈夾層患者83例，胸主動脈瘤破裂3例，主動脈壁內血腫5例；磁共振成像顯示暘性90.9%；行外科手術75例，存活率為62%；保守治療25例，病死率為12%。結論急性主動脈綜閤癥主要錶現為主動脈夾層，另外還包括穿透性主動脈潰瘍、主動脈壁內血腫以及胸主動脈瘤破裂，在臨床特徵上，後三者與主動脈夾層類似，磁共振成像對急性主動脈綜閤癥的診斷特異性與敏感性均較彊，要根據不同的病變部位採取不同的治療措施。
목적：탐토급성주동맥종합증적림상특정。방법회고성분석아원수치적100례급성주동맥종합증환자적림상자료，병분석기림상특정。결과：100례환자중，천투성주동맥궤양8례，주동맥협층환자83례，흉주동맥류파렬3례，주동맥벽내혈종5례；자공진성상현시양성90.9%；행외과수술75례，존활솔위62%；보수치료25례，병사솔위12%。결론급성주동맥종합증주요표현위주동맥협층，령외환포괄천투성주동맥궤양、주동맥벽내혈종이급흉주동맥류파렬，재림상특정상，후삼자여주동맥협층유사，자공진성상대급성주동맥종합증적진단특이성여민감성균교강，요근거불동적병변부위채취불동적치료조시。
Objective To investigate the clinical features of acute aortic syndrome. Methods A retrospective analysis was performed on the clinical data of 100 patients with acute aortic syndrome admitted to our hospital to investigate the clinical features. Results Of 100 patients, 8 had penetrating aortic ulcer, 83 had aortic dissection, 3 had rupture of thoracic aortic aneurysm, and 5 had aortic intramural hematoma; 90.9% had positive findings on magnetic resonance imaging (MRI);75 cases were surgically treated, and the survival rate was 62%;25 cases received conservative treatment, and the fatality rate was 12%. Conclusion Acute aortic syndrome is manifested mainly by aortic dissection, penetrating aortic ulcer, aortic intramural hematoma, and rupture of thoracic aortic aneurysm, and the latter three have similar clinical features as aortic dissection. MRI has high specificity and sensitivity for the diagnosis of acute aortic syndrome. Treatment methods should be selected according to the lesion location.
