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目的提高对主动脉夹层临床特点的认识水平,做到早诊断、早治疗。方法分析31例主动脉夹层的病因、诱因、临床表现、诊断、鉴别诊断及治疗。结果主动脉夹层患者中合并高血压者占80%以上,主要首发症状为突发性撕裂样疼痛,增强CT诊断符合率高(100%)。结论以突发胸痛就诊,尤其有高血压者,必须考虑主动脉夹层的诊断,增强CT是确诊主动脉夹层的首选方法,药物治疗的首要问题是稳定高血压和控制心率,手术治疗是彻底治愈的根本方法。
Objective To improve the understanding of the clinical characteristics of aortic dissection, so that early diagnosis and early treatment. Methods 31 cases of aortic dissection etiology, causes, clinical manifestations, diagnosis, differential diagnosis and treatment. Results Aortic dissection patients with hypertension accounted for more than 80%, the main initial symptom of sudden tear-like pain, enhanced CT diagnosis of high coincidence rate (100%). Conclusions The treatment of sudden chest pain, especially those with hypertension, must consider the diagnosis of aortic dissection, enhanced CT is the preferred method of diagnosis of aortic dissection, the primary problem of drug treatment is stable hypertension and heart rate control, surgical treatment is completely cured The basic method.