医药与保健
醫藥與保健
의약여보건
MEDICINE AND HEALTH CARE
2014年
8期
165-166
,共2页
主动脉夹层%心脏彩超%胸部CT%明确诊断
主動脈夾層%心髒綵超%胸部CT%明確診斷
주동맥협층%심장채초%흉부CT%명학진단
dissection of aorta%colour sonography%chest CT%Accurate diagnosis
本文通过对四例主动脉夹层破裂诊治过程的分析，提示在基层医院特别是在急诊科及心内科的医务人员需要心中要有主动脉夹层疾病的概念，体检要全面，要及时会诊。遇到不能用冠心病、气胸、肺栓塞等疾病解释的呼吸困难、胸痛时，要及时进行心脏彩超、胸部CT检查。即使这些检查有一定风险也要尽早进行已尽快明确诊断以便采取相应治疗。
本文通過對四例主動脈夾層破裂診治過程的分析，提示在基層醫院特彆是在急診科及心內科的醫務人員需要心中要有主動脈夾層疾病的概唸，體檢要全麵，要及時會診。遇到不能用冠心病、氣胸、肺栓塞等疾病解釋的呼吸睏難、胸痛時，要及時進行心髒綵超、胸部CT檢查。即使這些檢查有一定風險也要儘早進行已儘快明確診斷以便採取相應治療。
본문통과대사례주동맥협층파렬진치과정적분석，제시재기층의원특별시재급진과급심내과적의무인원수요심중요유주동맥협층질병적개념，체검요전면，요급시회진。우도불능용관심병、기흉、폐전새등질병해석적호흡곤난、흉통시，요급시진행심장채초、흉부CT검사。즉사저사검사유일정풍험야요진조진행이진쾌명학진단이편채취상응치료。
In this paper,through the analysis of the process of diagnosis and treatment of rupture of aortic dissection in four cases,prompt in the grass-roots hospital especially need the concept of mind to have aortic disease in the emergency department and Department of Cardiology medical personnel,physical examination should be comprehensive,timely consultation.Meet not coronary heart disease, pneumothorax, pulmonary embolism and other diseases to explain the difficulty breathing, chest pain,should be promptly carried out cardiac ultrasound,chest CT examination.Even if these checks a certain risk but also to have been diagnosed as soon as possible in order to take corresponding treatment as soon as possible.
