[摘要]目的分析主动脉夹层(AD)的病因,临床表现,影像学特点及诊断和治疗的意义。方法 2006年10月-2009年10月,3年间本院收治的36例AD患者的病例资料,进行回顾性分析。结果 36例AD病人中大多有高血压病史,临床表现复杂多变,但大多表现突然胸腹部及腰背部撕裂样疼痛。用影像学方法确诊。结论 AD形成与高血压有关. 早期诊断的关键是提高AD的诊断意识,影像学:X光片、计算机断层扫描CT,磁共振成像(MRI)、等检查具有很好的诊断价值。早治疗可提高AD的生存率。

    [关键词] 主A夹层;高血压;诊断;治疗

    [中图分类号]R543.1 [文献标识码]A [文章编号]1005-0515(2010)02-025-03

    [Abstract] ObjectiveAnalysis of aortic dissection (AD) etiology, clinical manifestations, imaging features and diagnostic and treatment significance. MethodsOctober 2006 -2,009 10 months, 3 years, 36 patients admitted to our hospital in patients with AD cases data were analyzed retrospectively. Results36 cases of AD patients have high blood pressure most of history, clinical manifestations complex, but most of the performance of a sudden chest and abdomen waist back and tearing-like pain. Confirmed by imaging techniques. Conclusion AD formation and hypertension. The key to early diagnosis of AD is to increase awareness of the diagnosis, imaging studies: X-rays, computed tomography CT, magnetic resonance imaging (MRI), so check with a good diagnostic value. Early treatment can improve the survival rate of AD. ......