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目的:探讨超声心动图在主动脉夹层的诊断和临床治疗中的应用价值。方法:17例夹层动脉瘤均经胸前、胸骨上窝及腹部多个部位多切面追踪扫查。结果:17例病人中,10例为局限于升主动的夹层(Ⅱ型),4例延伸到降主动脉(Ⅰ型),3例夹层一直延伸至腹主动脉分叉处(III型)。结论:超声心动图是诊断夹层动脉瘤准确、快捷、有效的首选检查方法,具有较高的临床应用价值。
Objective: To explore the value of echocardiography in the diagnosis and clinical treatment of aortic dissection. Methods: All the 17 cases of dissecting aneurysms were scanned by multiple sections of the thoracic cavity, suprasternal fossa and multiple parts of the abdomen. RESULTS: Of the 17 patients, 10 were localized to ascending active dissection (type II), 4 extended to the descending aorta (type I) and 3 dissected to the aortic bifurcation (type III). Conclusion: Echocardiography is the first choice to diagnose dissecting aneurysms accurately, quickly and effectively. It has high clinical value.