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目的总结18例主动脉夹层诊治体会。方法主动脉夹层18例经心脏彩超、CT增强扫描、磁共振成像(MRI)确诊。基础治疗以控制血压、降低左室dp/dt为主,4例行带膜血管内支架置入术,2例行外科手术。结果1例因夹层破裂、急性心包填塞死亡,其余好转出院。结论主动脉夹层进展快,死亡率高,早期诊断、及时采取药物、介入、外科手术治疗能改善预后。
Objective To summarize 18 cases of diagnosis and treatment of aortic dissection. Methods Eighteen cases of aortic dissection were diagnosed by echocardiography, contrast-enhanced CT and magnetic resonance imaging (MRI). Basic treatment to control blood pressure, reduce left ventricular dp / dt-based, 4 cases with vascular stent placement, 2 cases of surgery. Results One patient died of dissection and acute cardiac tamponade, and the rest were discharged. Conclusions Aortic dissection is advanced rapidly with high mortality rate. Early diagnosis, timely medication, intervention and surgery can improve the prognosis.