论文部分内容阅读
主动脉夹层又称夹层动脉瘤,是由于不同原因造成主动脉内膜破裂,高压血流冲入血管壁在内膜和中外层之间有血液通过时的压力导致大血管纵向剥离,沿主动脉长轴方向发展形成真假两个通道。主动脉夹层动脉瘤是一种发病凶险、预后严重的心血管病急症,发病急,进展快。临床表现复杂多样,极易造成漏诊误诊,病死率高。如未治疗65%～73%将于两周内死亡[1]。及早诊治是降低病死率和改善愈后的关键。现将我院2010年3月至2011年10月3例夹层动脉瘤误诊病例分析如下。
Aortic dissection, also known as dissecting aneurysm, is due to a variety of reasons caused by rupture of the aortic intima, high blood pressure into the blood vessel wall in between the intima and the middle and outer layers of blood pressure caused when the longitudinal dissection of large vessels along the aorta The development of long axis form true and false two channels. Aortic dissection aneurysm is a dangerous disease, a serious prognosis of cardiovascular disease emergency, acute onset, rapid progress. Complex and diverse clinical manifestations, can easily lead to missed diagnosis misdiagnosis, high mortality. If not treated 65% to 73% will die within two weeks [1]. Early diagnosis and treatment is to reduce mortality and improve the prognosis of the key. Now my hospital from March 2010 to October 2011 3 cases of dissecting aneurysm misdiagnosed as follows.