【摘要】 目的 探讨急性动脉夹层的临床特点及基层医院的救治方法。方法 对16例急性动脉夹层患者的临床资料进行回顾性分析。结果 16例均以疼痛为首发症状，均给予镇静、止痛、硝普钠控制血压，美托络尔控制心率、减弱心肌收缩力、降低心室内压变化速率(dP/dT)。到上级医院置入支架1例；死亡3例(1例死于上级医院)；退院1例。其中有3例患者溶栓，均好转出院。结论 动脉夹层是心血管疾病的急危重症之一，积极的内科治疗，可挽救一部分患者的生命，为进一步外科手术治疗或介入治疗争取时间。

    【关键词】 基层医院 主动脉夹层 高血压

    Treatment of Acute Aoric Dissection in the Basic Lever Hospital (A Report of 16 Cases)Shang Ke-yong.Department of Cardiology,Laoting County Hospital,He Bei Province Laoting 063600,China.

    【Abstract】Objective To investigate clinical characteristics and treatment ofacute dissection in the basic lever hospital.Methods To look back analyze clinical date of the 16 cases with acute aoric dissection.Results The first symptom is pain in the all patients.Calm and relieve pain, control blood pressure with sodium nitroprusside,control heart rate with metoprolol and decrease myocardial systole ,take the change rate of pressure in heart down to everyone.Of which,1 patient have been installed stenting in higher level hospital;3 cases were death(one of them was death in higher level hospital );1 patient was discharged from the hospital.3 cases were accepted intravenous thrombolytic therapy and safe leaved hospital.Conclusion Acute aoric dissection is one acute danger symptom of cardiovascular disease,active medical treatment can save a number of the patient’s life,so that,win times for further surgical operation or interventional therapy . ......