摘要
急性主动脉夹层(AAD)是心血管危急重症,其临床表现复杂多样,急诊早期诊断具有挑战性,延迟诊断或误诊漏诊均可能导致严重后果.通过回顾性分析1例以腰痛、截瘫不典型症状为首发表现的Stanford A型AAD患者的诊治过程,结合文献讨论不典型AAD急诊早期诊断策略.
Acute aortic dissection (AAD) is a cardiovascular critical serious disease, and the clinical manifestations of AAD are diverse and complicated. The emergent early diagnosis is often challenging, and misdiagnosis or delay in diagnosis may result in serious consequences. The process of diagnosis and treatment of a patient with Stanford A type AAD firstly manifesting atypical signs and symptoms of osphyalgia and paraplegia was retrospectively analyzed. The related literatures were reviewed to discuss the early diagnostic strategies used in this atypical emergent patient with AAD.
出处
《中国中西医结合急救杂志》
CAS
CSCD
北大核心
2017年第6期657-659,共3页
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
基金
广东省中医院中医药科研专项资助(YK201382N17)
关键词
主动脉夹层
急性
截瘫
诊断
急诊
Acute aortic disseelion
Paraplegia
Diagnosis
Emergency