主动脉夹层动脉瘤(Dissecting Aortic Aneu-rysm,简称DAA)是内、外、神经、甚至妇产和儿科均可能遇到的危重急症。由于此病表现多样化,甚易漏诊或误诊,贻误治疗,预后极为严重。试举我们曾遇到过的1例,由于经验不足,各有关医生意见不一,曾诊断为:急性胆囊炎、胆石症、急性心肌梗塞、急性胰腺炎,夹层动脉瘤等。从起病到死亡,历32小时,经尸检证实为典型的DeBakeyⅠ型DAA。现予以介绍和谈点体会,供同道参考。 Dissecting Aortic Aneu-rysm (DAA) is a critical emergency that may be encountered both inside and outside the nerve, and even in obstetrics and gynecology. Due to the diversification of the disease, it is very easy to miss or misdiagnosis, delaying treatment, the prognosis is extremely serious. Give a cite We have encountered in 1 case, due to lack of experience, the various doctors have different opinions, have been diagnosed as: acute cholecystitis, cholelithiasis, acute myocardial infarction, acute pancreatitis, dissecting aneurysms. From onset to death, 32 hours after autopsy confirmed DeBakey type Ⅰ DAA. Now be introduced to talk and experience, for fellow reference.