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目的:浅谈主动脉夹层分离内科治疗体会。方法:随访3 a内科保守治疗夹层分离的情况,其中DebakeyⅠ型1例,Ⅱ型2例,Ⅲ型13例。结果:死亡3例,其余13例中除1例伴主动脉关闭不全因心力衰竭反复住院外,其余均病情稳定。结论:对主动脉夹层分离通过早期诊断,联合应用合适的降压药物,急性期过后坚持控制血压和应用β-受体阻滞剂,可以降低病死率,改善预后。
Objective: To discuss the medical treatment of aortic dissection. Methods: Followed up 3 years of medical conservative treatment of dissection, including Debakey Ⅰ 1 case, Ⅱ 2 cases, Ⅲ 13 cases. Results: Three died and the rest 13 cases were stable except for one case with aortic insufficiency hospitalized repeatedly due to heart failure. Conclusion: The early diagnosis of aortic dissection through the combination of appropriate antihypertensive drugs, insist on control of blood pressure and the application of β-blockers after acute phase can reduce mortality and improve prognosis.