主动脉夹层15例临床诊治分析(2)
总之,AD虽然发病率并不高,美国心脏协会(AHA)2006年报道,本病年发病率为25~30/100万,但并不是少见病,而且其起病凶险,预后很差。它的典型表现为突发的剧烈疼痛,临床表现是多样的,可能仅在较少数患者中存现过去认为的典型症状和体征。但是我们的经验证明,只要在临床上提高警惕,在出现特殊的胸背痛或腰背痛症状时及时进行影像学检查,以做到早诊断、早治疗,防误诊、漏诊。
参 考 文 献
[1] 陈运贞. 内科学.北京:人民卫生出版社,2008:352.
[2] Debakey ME,Henly WS,Cooley DA,et al.Surgical management of dissect-ing aneurysm involving the ascending aorta.J Cardiovasc Surg (Torino),1964,5(3):200-211.
[3] Carrel T,Nguyen T,Gysi J,et al.Acute type B aortic dissection:prognosis after initial conservative treatment and predictive factorfor a complicated course.Schweiz Med Wochenschr,1997,127:1467.
[4] 曾红科,方明,孙诚,等.主动脉夹层累及范围与患者症状关系的临床分析.中华心血管病杂志,2004,32(6):516-518.
[5] 谢树民.主动脉夹层动脉瘤.实用诊断与治疗杂志,2004,18(1):40-43.
[6] Ince H,Nienaber CA.Diagnosis and management of patients withaortic dissection.Heart,2007,93:266.
[7] Hagan PG,Nienaber CA,Issebacher EM,et al.The InternationalRegistry of Acute Aortic Dissection(IRAD):new insights into an old disease.JAMA,2000,283:897.
[8] Suzuki T,Mehta RH,Ince H,,et al. Clinical profiles and out- comes of acute type B aortic dissection in the current era:lessons from the International Registry of Aortic Dissection (IRAD). Circulation,2003,108:312., 百拇医药(韩艺辉 刘丹 王喜萍)
参 考 文 献
[1] 陈运贞. 内科学.北京:人民卫生出版社,2008:352.
[2] Debakey ME,Henly WS,Cooley DA,et al.Surgical management of dissect-ing aneurysm involving the ascending aorta.J Cardiovasc Surg (Torino),1964,5(3):200-211.
[3] Carrel T,Nguyen T,Gysi J,et al.Acute type B aortic dissection:prognosis after initial conservative treatment and predictive factorfor a complicated course.Schweiz Med Wochenschr,1997,127:1467.
[4] 曾红科,方明,孙诚,等.主动脉夹层累及范围与患者症状关系的临床分析.中华心血管病杂志,2004,32(6):516-518.
[5] 谢树民.主动脉夹层动脉瘤.实用诊断与治疗杂志,2004,18(1):40-43.
[6] Ince H,Nienaber CA.Diagnosis and management of patients withaortic dissection.Heart,2007,93:266.
[7] Hagan PG,Nienaber CA,Issebacher EM,et al.The InternationalRegistry of Acute Aortic Dissection(IRAD):new insights into an old disease.JAMA,2000,283:897.
[8] Suzuki T,Mehta RH,Ince H,,et al. Clinical profiles and out- comes of acute type B aortic dissection in the current era:lessons from the International Registry of Aortic Dissection (IRAD). Circulation,2003,108:312., 百拇医药(韩艺辉 刘丹 王喜萍)