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四肢血压异常变化伴胸痛在早期诊断主动脉夹层中的意义 被引量:5

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摘要 目的分析四肢血压异常变化伴胸痛对主动脉夹层早期诊断的意义。方法四肢血压异常变化伴或不伴胸痛患者41例根据伴和不伴胸痛进行分组,评价四肢血压异常变化伴胸痛诊断主动脉夹层的特异性和敏感性。结果四肢血压异常变化41例中主动脉夹层2l例(51.2)%,而在四肢血压异常伴胸痛者23例中主动脉夹层19例(82.6%),其诊断主动脉夹层的敏感性为82.6%,特异性为88.9%。结论四肢血压异常变化伴胸痛在主动脉夹层的诊断中敏感性较高,特异性较强。早期诊断时应重视胸痛症状和检查四肢血压,以提高诊断率。
作者 钟海江
出处 《现代实用医学》 2007年第7期560-561,共2页 Modern Practical Medicine
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参考文献7

  • 1陈灏珠.心血管内科手册[M].北京:人民卫生出版社,2001.752-778.
  • 2Miller DC.Acute dissectionOfthe aortacontiuningneed for earlierdiagnosis and treatment[J].Mod Core Cardiovase Dis,1985,54(1):51-55.
  • 3胡大一,马长生.心脏病学实践2004[M].北京:人民卫生出版社,2004:89-90.
  • 4顾永祥 吴祥.主动脉夹层瘤误诊分析.急诊医学,2000,9(3):190-190.
  • 5Kasher JA,E1-Bialy A,Balingit P.Aortic dissection:a dreadeddisseasewithmany faces[J].J Cardiovasc Pharmacol Ther,2004,9(3):211-218.
  • 6赵世峰,沈洪,张高魁.急性主动脉夹层动脉瘤早期诊断的研究[J].中国全科医学,2005,8(11):888-890. 被引量:34
  • 7von Kodolitsch Y,Schwartz AC,Nienaber CA.Clinical prediction Ofacute aortic dissection[J].Arch Intern Med,2000,160(19):2977-2982.

二级参考文献9

  • 1Mariani MA,D′Alfonso A,Nardi C,et al.Aortic dissection:diagnosis,state-of-the-art of imaging and new management acquisitions [J].Ital Heart J,2004 ,5(9):648-655.
  • 2Kodolitsch Y,Schwartz Ag,Nienaber Ca.Clinical prediction of aortic dissection [J].Arch Intern Med,2000,160:2977-2982.
  • 3Meszaros I,Morocz J,Szlavi J,et al.Epidemiology and clinicopathology for aortic dissection [J].Chest,2000,117:1271-1278.
  • 4Kasher JA,El-Bialy A,Balingit P.Aortic dissection:a dreaded disease with many faces [J].J Cardiovasc Pharmacol Ther,2004,9(3):211-218.
  • 5Mehta RH,Suzuki T,Hagan PG,et al.Predicting death in patients with acute type a aortic dissection [J].Circulation,2002,105(2):200-206.
  • 6Ghosh AK.Clinical diagnosis of acute aortic dissection [J].Arch Intern Med,2001,161(20):2507.
  • 7Vijayakumar AR,Menon S.Acute aortic dissection-DeBakey Type I and Stanford A [J].J Assoc Physicians India,2004,52:154-155.
  • 8Vilacosta I.Acute Aortic Syndrome [J].Rev Esp Cardiol,2003,56(Supl.1):29-39.
  • 9Singer AJ,Hollander Je.Blood pressure:assessment of interarm difference [J].Arch Intern Med,1996,156:2005-2008.

共引文献49

同被引文献46

  • 1黄素芳,肖亚茹,汪晖,严丽,周雁荣,邓娟,李咪琪,周荃.影响急性主动脉夹层患者院前就诊时间的多因素研究[J].中华急危重症护理杂志,2020,1(1):17-23. 被引量:8
  • 2孙红,胡英莉,刘丹,袁秀芳,周文华.提高急诊胸痛患者分诊准确率的研究[J].中华护理杂志,2006,41(11):1018-1020. 被引量:27
  • 3Leitman I M,Suzuki K,Wengrofsky A J,et al.Early recognition of acute thoracic aortic dissection and aneurysm[J].World J Emerg Surg,2013,8(1):47.
  • 4Sullivan P R,Wolfson A B,Leckey R D,et al.Diagnosis of acute thoracic aortic dissection in the emergency department[J].Am J Emerg Med,2000,18 (1):46-50.
  • 5Rogers A M,Hermann L K,Booher A M,et al.Sensitivity of the Aortic Dissection Detection Risk Score,a Novel Guideline-Based Tool for Identification of Acute Aortic Dissection at Initial Presentation Results From the International Registry of Acute Aortic Dissection[J].Circulation,2011,123 (20):2213-2218.
  • 6Hiratzka L F,Bakris G L,Beckman J A,et al.CCF/AHA/AATS/ACR/ASA/SCA /SCAI/SIR/STS/SVM guidelines for the diagnosis and management of patients with thoracic aortic disease:a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines,American Association for Thoracic Surgery,American College of Radiology,American Stroke Association,Society of Cardiovascular Anesthesiologists,Society for Cardiovascular Angiography and Interventions,Society of Interventional Radiology,Society of Thoracic Surgeons,and Society for Vascular Medicine[J].J Am Coll Cardiol,2010,55(14):e27-e129.
  • 7Suzuki T H,Mehta R,Hüseyin Ince,et al.Clinical profiles and outcomes of acute type B aortic dissection in the current Era:Lessons From the International Registry of Aortic Dissection (IRAAD)[J].Circulation,2003,108(Suppl 1):II312-II317.
  • 8Rosskopf A B,Bugmann R,Goeber V,et al.Computed tomographic coronary angiography in patients with surgically treated type A aortic dissection:preliminary results[J].Emerg Radiol,2010,17(3):185-190.
  • 9Li Y,Yang N,Duan W,et al.Acute aortic dissection in China[J].Am J Cardiol,2012,110(7):1056-1061.
  • 10Shiraishi J,Pesce L L,Metz C E,et al.Experimental design and data analysis in receiver operating characteristic studies:lessons learned from reports in radiology from 1997 to 2006[J].Radiology,2009,253 (3):822-830.

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