中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2012年
18期
56-58
,共3页
主动脉夹层%诊断方法
主動脈夾層%診斷方法
주동맥협층%진단방법
Aortic dissection%Diagnosis method
目的 探讨主动脉夹层患者的临床特征、诊断方法及治疗方法,以减少误诊率.方法 回顾性总结2001年1月至2011年1月大同市第三人民医院收治的58例主动脉夹层患者的诱因、临床表现、诊断和治疗方法.结果 58例中伴高血压者占78.8％,动脉粥样硬化者占66.2％；58例主动脉夹层患者胸骨后撕裂样剧痛者占36.2％,螺旋CT和MRI检查有助于快速明确诊断,确诊率可达到100％.结论 主动脉夹层患者中高血压等心血管疾病危险因素的患病率较高,疼痛是主要症状表现,CT和MRI是诊断主动脉夹层很好的技术措施.药物治疗的首要问题是稳定高血压和控制心率,手术治疗是彻底治愈的根本方法.
目的 探討主動脈夾層患者的臨床特徵、診斷方法及治療方法,以減少誤診率.方法 迴顧性總結2001年1月至2011年1月大同市第三人民醫院收治的58例主動脈夾層患者的誘因、臨床錶現、診斷和治療方法.結果 58例中伴高血壓者佔78.8％,動脈粥樣硬化者佔66.2％；58例主動脈夾層患者胸骨後撕裂樣劇痛者佔36.2％,螺鏇CT和MRI檢查有助于快速明確診斷,確診率可達到100％.結論 主動脈夾層患者中高血壓等心血管疾病危險因素的患病率較高,疼痛是主要癥狀錶現,CT和MRI是診斷主動脈夾層很好的技術措施.藥物治療的首要問題是穩定高血壓和控製心率,手術治療是徹底治愈的根本方法.
목적 탐토주동맥협층환자적림상특정、진단방법급치료방법,이감소오진솔.방법 회고성총결2001년1월지2011년1월대동시제삼인민의원수치적58례주동맥협층환자적유인、림상표현、진단화치료방법.결과 58례중반고혈압자점78.8％,동맥죽양경화자점66.2％；58례주동맥협층환자흉골후시렬양극통자점36.2％,라선CT화MRI검사유조우쾌속명학진단,학진솔가체도100％.결론 주동맥협층환자중고혈압등심혈관질병위험인소적환병솔교고,동통시주요증상표현,CT화MRI시진단주동맥협층흔호적기술조시.약물치료적수요문제시은정고혈압화공제심솔,수술치료시철저치유적근본방법.
Objective To investigate the clinical characteristics,diagnotic method and therapeutic approaches of aortic dissection,in order to reduce the rate of misdiagnosis.Methods The causes,clinical manifestations,diagnosis and treatment of the 58 cases of aortic dissection admitted in our hospital from January 2001 to January 2011 were retrospectively summarized.Results There were 78.8％ of the patients had a history of hypertension,66.2％ had arteriosclerosis.There were about 36.2％ of AD patients had sudden severe chest pain.Definite diagnosis could be made by Spiral CT and MRI,and the diagnosis rate was 100％.Conclusions Hypertension is more common in AD patients,pain is the most common symptom,CT and MRI are effective for the diagnosis of aortic dissection.The key pharmacological problem is to make the blood pressure stable and be controlled,and surgery treatment is the method to treat aortic dissection thoroughly.
