摘要
目的提高对主动脉夹层临床特点的认识水平,做到早诊断、早治疗。方法分析31例主动脉夹层的病因、诱因、临床表现、诊断、鉴别诊断及治疗。结果主动脉夹层患者中合并高血压者占80%以上,主要首发症状为突发性撕裂样疼痛,增强CT诊断符合率高(100%)。结论以突发胸痛就诊,尤其有高血压者,必须考虑主动脉夹层的诊断,增强CT是确诊主动脉夹层的首选方法,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。
Objective To enhance the level of understanding for clinical characters of aortic dissection and improve the diagnosis and treatment.Methods To analyze the cause,symptoms,signs,dianosis,treatment of 31 cases of aortic dissection.Results More than 80% of the patients with aortic dissection had hypertension,most common initial symptom was severe pain.Enhanced Spiral CT have the highest accuracy of diagnosis for aortic dissection（100%）.Conclusion The patients with severe chest pain and hypertension must be considered to suffer from aortic dissection,and enhanced spiral CT had the highest accuracy of diagnosis.The key pharmacological problem is to make the blood pressure stable and to be controlled,and the surgery treatment is the method to treat aortic dissection thoroughly.
出处
《临床医学》
CAS
2010年第3期11-12,共2页
Clinical Medicine
关键词
主动脉夹层
高血压
增强CT
诊断
鉴别诊断
治疗
Aortic dissection
Hypertension
Enhanced spiral CT
Diagnosis
Differential diagnosis
Treatment
