对腹主动脉夹层动脉瘤误诊1例分析如下。1病历摘要男,28岁。因突发中下腹剧烈胀痛3 h,全身冷汗伴烦躁1 h来院就诊。继往无糖尿病、高血压、冠心病史,否认暴饮暴食、不洁饮食史。查体:神清,全身湿冷,烦躁,BP 135/80 mm Hg,两肺呼吸音清,HR 120次/m in律齐。腹稍隆,中下腹拒按,肌 Abdominal aortic dissection aneurysm misdiagnosis of a case as follows. 1 medical record summary male, 28 years old. Severe abdominal pain due to sudden severe pain 3 h, body cold sweat with irritability 1 h to hospital. The past no diabetes, hypertension, coronary heart disease history, denied overeating, unclean diet history. Physical examination: Shen Qing, body wet and cold, irritability, BP 135/80 mm Hg, lung breath sounds clear, HR 120 times / m in Law Qi. Abdominal bulge, refused to press the lower abdomen, muscle