CAJ | 학술논문

结合尸检结果,分析5例主动脉夹层(AD)猝死患者的临床表现和死亡原因.显示主动脉夹层引起猝死者多为Ⅰ型和Ⅱ型,患者多有高血压病史,多以胸、腹痛或背痛为首发症状;升主动脉夹层破裂致心包腔积血引起心脏压塞是其猝死的重要死因.提示,应提高基层医师对AD的认知度,以期早诊断、早转诊、早治疗.
결합시검결과,분석5례주동맥협층(AD)졸사환자적림상표현화사망원인.현시주동맥협층인기졸사자다위Ⅰ형화Ⅱ형,환자다유고혈압병사,다이흉、복통혹배통위수발증상;승주동맥협층파렬치심포강적혈인기심장압새시기졸사적중요사인.제시,응제고기층의사대AD적인지도,이기조진단、조전진、조치료.
A retrospective analysis was made on clinical manifestations and autopsy results of 5 sudden deaths from aortic dissecting (AD).Sudden deaths from AD were almost induced by type Ⅰ and Ⅱ of DeBakey Typing.Most patients had a history of hypertension and prodromal symptoms of either chest pain,abdominal pain or back pain.Most common cause of death was cardiac tamponade induced by rupture of the ascending aorta.The clinicians should further recognize of AD so as to achieve the objective of early diagnosis and early treatment.