摘要
目的 分析不同类型主动脉夹层患者的临床特点,提高对主动脉夹层的诊治能力。方法 对68例主动脉夹层患者的基线资料、危险因素、临床症状、治疗和预后等情况进行分析。结果 在68例主动脉夹层患者中,有Stanford A型42例(61.76%),Stanford B型26例(38.24%)。相关危险因素分别是高血压59例(86.76%)、吸烟26例(38.24%)、高血脂23例(33.82%),Stanford A型与B型之间的危险因素比较,差异无统计学意义(P>0.05)。首发症状有胸部、背部或者腹部疼痛的有61例(89.71%),无明显疼痛的有7例(10.29%),同时主动脉夹层还可见到伴发急性心肌梗死和肠梗阻等相关受累器官的病变症状。Stanford A型和B型主动脉夹层分别以胸痛和腹痛为主要的首发症状,差异有统计学意义(P<0.05)。结论 主动脉夹层病死率高而且临床表现多样,首诊医生需要做到早诊断,早治疗,从而改善主动脉夹层患者的预后。
Objective To investigate the clinical features of different types of aortic dissection,and to improve the ability for the diagnosis and treatment of aortic dissection.Methods The data of 68 patients with aortic dissection were analyzed,including baseline data,risk factors,clinical symptoms,treatment,and prognosis.Results Among the 68patients with aortic dissection,42(61.76%) had Stanford A type aortic dissection and 26(38.24%) had Stanford B type aortic dissection.Related risk factors were hypertension in 59 patients(86.76%),smoking in 26 patients(38.24%),and hyperlipidemia in 23 patients(33.82%),and there were no significant differences in risk factors between Stanford A type aortic dissection and Stanford B type aortic dissection.Of all patients,61(89.71%) had an initial symptom of chest/back/abdominal pain,and 7(10.29%) had no obvious pain,and the patients with aortic dissection could also have the symptoms of lesions in the organs involved,such as acute myocardial infarction and intestinal obstruction.The initial symptom was chest pain for Stanford A type aortic dissection and abdominal pain for Stanford B type aortic dissection,with a significant difference between the two types.Conclusion Aortic dissection tends to have a high mortality rate and diverse clinical manifestations,and therefore,clinicians for initial diagnosis need to make an early diagnosis and perform early treatment,so as to improve the prognosis of patients.
作者
黄永菊
蒋学友
HUANG Yong-ju;JIANG Xue-you(The Second Affiliated Hospital of Nanjing Medical University,Nanjing 210011,China;The Second Affiliated Hospital of Southeast University·Nanjing Second Hospital,Nanjing 210003,China)
出处
《心血管病防治知识（学术版）》
2023年第28期26-28,32,共4页
Prevention and Treatment of Cardiovascular Disease
关键词
主动脉夹层
诊断
治疗
Aortic dissection
Diagnosis
Treatment
