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目的:探讨主动脉夹层患者的临床特点及其与Stanford分型、临床转归的关系。方法:回顾性分析我院2005年至2010年间收治并经影像学检查确诊为主动脉夹层的住院内科保守治疗患者60例的临床资料、生化指标及转归。按Stanford分型及性别分组,对每组患者进行统计分析。结果:男性发病年龄小于女性,二者差异有统计学意义(P=0.029)。女性患病人数明显少于男性。男女组患Stanford A、B型差异无统计学意义;A型住院天数明显短于B型;A型转归明显差于B型;A、B型胱抑素C、肌酐、尿素氮、β2微球蛋白之间差异无统计学意义,但DD二聚体差异有统计学意义,A型阳性率高于B型。结论:在住院内科保守治疗患者中,男性主动脉夹层确诊时年龄较小,患病人数较多。Stanford A型住院天数较短,临床转归差,DD二聚体阳性率高。
Objective: To investigate the clinical characteristics of patients with aortic dissection and its relationship with Stanford classification and clinical outcome. Methods: The clinical data, biochemical indexes and prognosis of 60 cases of inpatient conservative treatment who were admitted to our hospital from 2005 to 2010 and were diagnosed as aortic dissection by imaging examination were retrospectively analyzed. According to Stanford classification and gender group, each group of patients were statistically analyzed. Results: The incidence of male was less than that of female, the difference was statistically significant (P = 0.029). Women suffer significantly less than men. There was no significant difference between male and female patients with Stanford type A and type B; type A hospital stay was significantly shorter than type B; type A was significantly worse than type B; type A and type B cystatin C, creatinine, urea nitrogen, The difference between globulin was not statistically significant, but there was a significant difference between DD dimers. The positive rate of type A was higher than that of type B. Conclusions: Among the conservative patients admitted to the hospital, the age of male aortic dissection was relatively small and the number of patients was more. Stanford type A hospital stay shorter days, poor clinical outcome, DD dimer-positive rate.