急性主动脉夹层早期误诊病例1例并原因分析(2)
综上所述,主动脉夹层是目前比较常见的心血管急重症,及时正确的诊断是挽救患者生命的基础。临床医生,不仅须掌握常见的临床表现,同时还应该知道许多少见的临床表现,在影像学检查不典型时,应结合多方面信息作出正确的诊断,提高对此病的诊断意识,减少误诊。
参考文献
[1]Rogers AM,Hermann LK,Booher AM,et al.Sensitivity of the aortic dissection detection risk score, a novel guideline-based tool for identification of acute aortic dissection at initial presentation:Results from the international registry of acute aortic dissection.Circulation,2011,123(20):2213-8.
[2]Yoon SH,Cho YS,Park CY,et al.Disseminated intravascular coagulation associated with aortic dissecting aneurysm.Korean J Intern Med,2004,19(2):134-6.
[3]Eggebrecht H,Naber CK,Bruch C,Kr?ger K, et al.Value of plasma fibrin D-dimers for detection of acute aortic dissection.J Am Coll Cardiol,2004,44(4):804-9.
[4]Von Kodolitsch Y,Nienaber CA,Dieckmann C,Schwartz AG,Hofmann T,Brekenfeld C,et al.Chest radiography for the diagnosis of acute aortic syndrome.Am J Med,2004,116(2):73-7.
[5]Sommer T,Fehske W,Holzknecht N,et al.Aortic dissection: a comparative study of diagnosis with spiral CT,multiplanar transesophageal echocardiography,and MR imaging. Radiology,1996,199(2):347-52.
本文编辑:王 琦, 百拇医药(陈小艳 孔繁亮 吴同果)
参考文献
[1]Rogers AM,Hermann LK,Booher AM,et al.Sensitivity of the aortic dissection detection risk score, a novel guideline-based tool for identification of acute aortic dissection at initial presentation:Results from the international registry of acute aortic dissection.Circulation,2011,123(20):2213-8.
[2]Yoon SH,Cho YS,Park CY,et al.Disseminated intravascular coagulation associated with aortic dissecting aneurysm.Korean J Intern Med,2004,19(2):134-6.
[3]Eggebrecht H,Naber CK,Bruch C,Kr?ger K, et al.Value of plasma fibrin D-dimers for detection of acute aortic dissection.J Am Coll Cardiol,2004,44(4):804-9.
[4]Von Kodolitsch Y,Nienaber CA,Dieckmann C,Schwartz AG,Hofmann T,Brekenfeld C,et al.Chest radiography for the diagnosis of acute aortic syndrome.Am J Med,2004,116(2):73-7.
[5]Sommer T,Fehske W,Holzknecht N,et al.Aortic dissection: a comparative study of diagnosis with spiral CT,multiplanar transesophageal echocardiography,and MR imaging. Radiology,1996,199(2):347-52.
本文编辑:王 琦, 百拇医药(陈小艳 孔繁亮 吴同果)