论文部分内容阅读
目的探讨主动脉夹层在急诊室的诊断和治疗。方法对在急诊确诊或经急诊收入院最终确诊的17例主动脉夹层患者的临床资料进行回顾性分析。结果 17例主动脉夹层患者临床表现多样,胸背部疼痛为常见首发症状,就诊时有些首发症状已不明显,而以并发症的表现为急诊时的重要体征;高血压是本病发病的常见原因,特别是血压波动幅度大的患者。病史、体检、辅助检查需要相互补充才能提高本病的诊断率,降低病死率。结论主动脉夹层症状呈多样性,加强对本病的认识,对高危患者应详细询问病史,特别是发病时首发病史的询问,结合体检和相关的辅助检查,可以提高该病在急诊的诊断率。对可疑患者,稳定生命体征后进行相关检查,可以降低病死率。
Objective To investigate the diagnosis and treatment of aortic dissection in emergency room. Methods A retrospective analysis was performed on the clinical data of 17 patients with aortic dissection who were diagnosed in the emergency department or finally diagnosed by the emergency department. Results 17 cases of aortic dissection patients with various clinical manifestations, chest and back pain as a common first symptom, some of the first symptoms at the time of treatment is not obvious, and the performance of the complications for the emergency vital signs; hypertension is the common cause of the disease , Especially in patients with large fluctuations in blood pressure. Medical history, physical examination, laboratory examinations need to complement each other to improve the diagnosis of the disease, reduce mortality. Conclusion The aortic dissection symptoms are diversified to enhance the understanding of the disease, high-risk patients should be asked in detail about the history, especially when the incidence of the first episode of history inquiry, combined with physical examination and related laboratory tests can improve the diagnosis of emergency in the emergency . Suspicious patients, stable vital signs after the relevant checks, can reduce the case fatality rate.