摘要
目的探讨急诊室主动脉夹层(AD)患者的临床表现、实验室及影像学检查的特征,寻找能快速准确诊断AD的预警模式及评分方法。方法对2011年1月至2016年12月本院急诊室收治的92例AD患者的临床表现、实验室检查结果、影像学资料进行回顾性分析,并与同期收治的128例胸背痛患者进行对照,探讨快速诊断急诊室AD的预警模式及评分方法。结果根据logistic回归方程及临床实践建立了急诊室AD的快速诊断预警评分模式,其危险因素包括突发胸背疼痛、血压升高、双上肢血压不对称>15mm Hg、胸部CT显示主动脉双腔征或纵隔增宽。根据该预警评分模式,以4分为标准时,预测AD的敏感度为95.65%,特异度为86.42%。结论所建立的急诊室AD快速诊断预警评分模式有助于急性AD的快速诊断。
Objective To investigate the clinical manifestation, laboratory examination and imaging data of aortic dissection （AD） in emergency department, and to find a rapid and accurate diagnosis mode and scoring method for AD. Method The clinical manifestations, laboratory findings and imaging data of 92 patients with AD from January 2011 to December 2016 in our hospital emergency room were analyzed retrospectively, and 128 cases of chest pain patients treated with the same period of the control, to explore the rapid diagnosis of AD early warning model and assessment method in emergency room. Result According to the logistic regression equation and clinical practice, the rapid diagnosis and early warning score model of emergency room AD was established. By 4 score standard, the sensitivity of AD was 95.65% and the specificity was 86.42%. Conclusion The emergency room AD rapid diagnosis and early warning scoring model established in the emergency room is helpful for the rapid diagnosis of acute AD.
作者
李格轩
常芳
顾伟
LI Ge-xuan;CHANG Fang;GU Wei(Emergency Department, Beijing Chuiyangliu Hospital, Tsinghua University, Beoing 100022, China;Emergency Department, Beijing Frendship Hospital, Capital Medical University, Beijing 100050, China)
出处
《中国医刊》
CAS
2018年第1期54-56,共3页
Chinese Journal of Medicine
基金
北京市属医院科研培育计划(PX2016022)
吴阶平临床科研专项资助基金(320.6750.15039)
关键词
主动脉夹层
快速诊断
预警模式
Aortic dissection
Rapid diagnosis
Warning model
