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目的研究主动脉夹层的临床特征与治疗。方法对27例主动脉夹层患者症状、体征、实验室检查及影像学资料进行回顾性分析。结果突发胸背剧痛、血压增高、新出现主动脉瓣关闭不全杂音、血压脉搏不对称、休克及上纵隔影增宽是该病的常见表现与诊断线索。超声心动图、CT扫描和MRI可提供主动脉夹层诊断的可靠证据。结论早期诊断和积极正确处理主动脉夹层是降低病死率、改善预后的关键。
Objective To study the clinical characteristics and treatment of aortic dissection. Methods The symptoms, signs, laboratory tests and imaging data of 27 patients with aortic dissection were analyzed retrospectively. The results of sudden chest pain, high blood pressure, new aortic valve regurgitation murmur, asymmetric blood pressure pulse, shock and widened upper mediastinum are the common manifestations of the disease and diagnostic clues. Echocardiography, CT scans, and MRI provide credible evidence of aortic dissection. Conclusion Early diagnosis and correct treatment of aortic dissection is the key to reduce mortality and improve prognosis.