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目的:分析主动脉夹层(AD)的临床特征及诱因,提高急诊确诊率。方法:回顾性分析我院2010年1月-2010年6月AD患者的临床资料。结果:11例AD患者中10例首发症状为疼痛,疼痛部位以胸、腹部为主,并发高血压病史者较多;误诊疾病复杂多样,以急腹症居多,首诊误诊率54.5%;治疗上以内科保守治疗为主。结论:AD首发症状主要为剧烈胸腹疼痛,病死率高,早期及时确诊,降低血压、心率可显著降低病死率。
Objective: To analyze the clinical features and causes of aortic dissection (AD) and improve the diagnosis rate of emergency. Methods: The clinical data of AD patients from January 2010 to June 2010 in our hospital were retrospectively analyzed. Results: The first symptom of 10 cases of AD patients was pain. The main pain areas were chest and abdomen, and the history of hypertension was complicated. The misdiagnosis diseases were complicated and varied. Most of them were acute abdomen. The first misdiagnosis rate was 54.5% On the conservative medical treatment based. Conclusion: The first symptom of AD is severe thoracoabdominal pain, high mortality, early diagnosis in time, lower blood pressure, heart rate can significantly reduce the mortality.