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目的:探讨急性主动脉夹层的临床表现,分析误诊原因,提出防范措施。方法:回顾性分析我院收治的2例急性主动脉夹层的临床表现。结果:1例表现为发作性腰腹疼痛,伴出汗、恶心,首诊为急性胰腺炎,之后考虑胃疾病、心绞痛、主动脉夹层,经彩超明确为主动脉夹层,治疗后病情平稳出院。1例表现为突发胸痛、腰背疼痛,诊断为急性心肌梗死,经螺旋CT诊断为主动脉夹层,转院治疗。结论:临床医生应重视急性主动脉夹层的易患因素,认识其临床表现及并发症的多样性,及时作相关检查,避免或减少误诊。
Objective: To investigate the clinical manifestations of acute aortic dissection, analyze the causes of misdiagnosis and put forward preventive measures. Methods: A retrospective analysis of 2 cases of acute aortic dissection in our hospital clinical manifestations. Results: One case showed paroxysmal lumbar pain, accompanied by sweating and nausea. The first diagnosis was acute pancreatitis. After considering gastric diseases, angina pectoris, aortic dissection, the aortic dissection was clearly identified by color Doppler ultrasound and the patient was discharged smoothly after treatment. 1 case of sudden chest pain, low back pain, diagnosis of acute myocardial infarction, diagnosis of aortic dissection by spiral CT, transfer treatment. Conclusion: Clinicians should pay more attention to the risk factors of acute aortic dissection, recognize the clinical manifestations and the diversity of complication, and timely make relevant tests to avoid or reduce the misdiagnosis.