论文部分内容阅读
目的:探讨主动脉夹层并急性冠脉综合征的临床、漏诊及治疗。方法:对我院2000-10/2008-05主动脉夹层并急性冠脉综合征患者20例的临床资料回顾性分析。结果:漏诊主动脉夹层3例,漏诊急性冠脉综合征4例,主动脉夹层内覆膜支架及PCI联合介入治疗Stanford B型主动脉夹层并急性冠脉综合征有效率达100%。结论:主动脉夹层并急性冠脉综合征易漏诊,主动脉夹层内覆膜支架及PCI联合介入治Stanford B型主动脉夹层并急性冠脉综合征疗安全、有效。
Objective: To explore the clinical, missed diagnosis and treatment of aortic dissection and acute coronary syndrome. Methods: The clinical data of 20 patients with aortic dissection and acute coronary syndrome from 2000 to 2008 in our hospital were retrospectively analyzed. Results: There were 3 cases of missed diagnosis of aortic dissection, 4 cases of missed diagnosis of acute coronary syndrome, and aortic dissection with stent combined with PCI interventional treatment of Stanford type B aortic dissection and acute coronary syndrome rate of 100%. Conclusions: Aortic dissection with acute coronary syndrome is misdiagnosed, stent-graft in aortic dissection and PCI in Stanford type B aortic dissection and acute coronary syndrome are safe and effective.