胸主动脉夹层动脉瘤破裂临床上极为少见 ,容易误诊误治 ,又因病情进展迅猛 ,极易导致病人在未诊断清楚前死亡。本文报道一例胸主动脉夹层动脉瘤破裂的患者 ,因医院错误的诊治 ,在未查清病因前连续使用强痛定 ,导致患者死亡的案例 ,并就医疗过失要点进行讨论。案情简介2 0 0 2年 Thoracic aortic dissection aneurysm rupture clinically rare, easy misdiagnosis and mistreatment, but also because of the rapid progress of the disease, can easily lead to the patient died before the diagnosis is not clear. This article reports a case of ruptured thoracic aortic dissecting aneurysm patients, due to the wrong diagnosis and treatment of the hospital, did not identify the cause of the continuous use of strong pain, resulting in patient death cases, and the main points of medical malpractice were discussed. Briefing on the situation 2 0 0 2 years