【中图分类号】R54【文献标识码】B【文章编号】1672-5085(2007)09-0019-03

    【摘要】目的：主动脉夹层是极为严重的心血管急症，误诊率及病死率高，提高早期确诊率对患者生存率影响大。方法：对我院1998年以来19例主动脉夹层患者的临床资料进行分析。结果：19例中仅6例首诊考虑该病，误诊率为68.4%，误诊为心绞痛5例，急性心肌梗死2例，急腹症2例，泌尿系结石2例，神经系统疾病2例。结论：主动脉夹层误诊率高，预后差。提高对该病的认识水平，加强诊断学基本功训练是减少误诊的关键。

    【关键词】主动脉夹层 分析

    Acute aorta band 19 examples clinical analyses Feng Guangzhi Xu Shudong Ding Guobin Geng Baoyu Chen Yuqing

    【Abstract】Objective:The aorta band is the extremely serious cardiovascular acute disease, misdiagnosing rate and the case fatality rate is high, enhances early diagnosis rate to affect in a big way to the patient survival rate. Method:1998 19 examples aortas band patient’s clinical material has carried on the analysis since to my courtyard. Finally: In 19 examples only 6 examples examine considered this sickness, misdiagnosing rate is 68.4%, misdiagnoses for the angina pectoris 5 examples, the acute cardiac arrest 2 examples, the acute abdominal pains 2 examples, the uropoiesis is the stone 2 examples, the nervous system disease 2 examples. Conclusion: Aorta band misdiagnosing rate is high, after pre-misses. Enhances to the level of understanding which should get sick, strengthens the diagnostics basic skills training is the key which the reduction misdiagnoses. ......