对以呼吸困难为首发症状的升主动脉夹层破裂(A型)1例分析如下。1病历摘要男,58岁。因呼吸困难10 d余,加重8 h于2009-01-15入院。患者10 d前,感冒后出现呼吸困难,伴有胸痛,为前胸部持续隐痛,无放射痛,无头晕、头痛,无胸闷,无恶心、呕吐、腹痛、腹泻,未在意未治疗。2009-01-15中 One case of ascending aortic dissection (A type) with dyspnea as the first symptom is analyzed as follows. 1 medical record summary male, 58 years old. Due to dyspnea more than 10d, 8 h heavier on admission 2009-01-15. The patient had dyspnea 10 days before the onset of colds, accompanied by chest pain, persistent pain in the anterior chest, no radiating pain, no dizziness, headache, no chest distress, no nausea, vomiting, abdominal pain, diarrhea and no treatment. 2009-01-15 Medium