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目的:研究地尔硫注射液治疗无并发症的Ⅲ型主动脉夹层的疗效。方法:临床选择无并发症的Ⅲ型主动脉夹层患者15例,用尔硫注射液进行治疗(治疗组),与传统的倍他乐克和硝普钠治疗11例(对照组)进行对比研究。结果:治疗组胸痛缓解时间明显缩短3小时胸痛缓解率明显提高(72.3%对54.5%),二者比较P<0.05。治疗组死亡率与对照组相比有明显差异(P<0.01)。结论:地尔硫射液治疗无并发症的Ⅲ型急性主动脉夹层死亡率比传统治疗低,缓解疼痛比传统治疗效果好。
Objective: To study the efficacy of diltiazem injection in the treatment of non-complication type Ⅲ aortic dissection. Methods: Fifteen patients with type Ⅲ aortic dissection without complications were enrolled in the study. The patients were treated with Erzheimer’s injection (treatment group), compared with 11 cases treated with traditional metoprolol and sodium nitroprusside (control group) the study. Results: The response time of chest pain in treatment group was significantly shortened by 3 hours (72.3% vs 54.5%), the P <0.05. The treatment group mortality rate compared with the control group were significantly different (P <0.01). Conclusion: The mortality rate of type Ⅲ acute aortic dissection without dilute complication of Diltiazem injection is lower than that of traditional treatment, and pain relief is better than traditional treatment.