【摘 要】
：
目的 探讨急性主动脉夹层的临床特征和诊治方法。方法 回顾分析 2 8例急性主动脉夹层患者的临床表现、诊疗经过。结果 2 8例急性主动夹层患者中 ,DeBakey分型Ⅰ型 9例 (3
【机 构】
：
广东鹤山市人民医院,广东鹤山市人民医院 529700,529700
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目的 探讨急性主动脉夹层的临床特征和诊治方法。方法 回顾分析 2 8例急性主动脉夹层患者的临床表现、诊疗经过。结果 2 8例急性主动夹层患者中 ,DeBakey分型Ⅰ型 9例 (32 1% ) ,Ⅱ型 7例(2 5 % ) ,Ⅲ型 12例 (4 2 89% )。临床误诊率 6 4 3% ,急性期死亡率 35 7%。结论 及早诊断、及时处理 ,尤其是控制好血压 ,是抢救成功、降低死亡率的关键。
Objective To investigate the clinical features and diagnosis and treatment of acute aortic dissection. Methods The clinical manifestations, diagnosis and treatment of 28 patients with acute aortic dissection were retrospectively analyzed. Results Among 28 patients with acute active dissection, there were 9 (32.1%) DeBakey type Ⅰ, 7 (Ⅱ 5), and 12 (42 89%) type Ⅲ in DeBakey classification. The clinical misdiagnosis rate was 64.3% and the acute phase mortality rate was 35.7%. Conclusion Early diagnosis and timely treatment, especially the control of blood pressure, is the key to successful rescue and reduction of mortality.
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