论文部分内容阅读
目的针对急诊主动脉夹层患者进行临床特征的分析,以提高急诊的确诊率并改善预后情况。方法分析2011年9月至2012年9月急诊部门的67例主动脉夹层患者的资料。结果 67位患者的突发性胸骨后撕裂剧痛率为92.53%。发病时的收缩压>180mmHg的患者有54位,占80.60%。胸片阳性率为52.46%。有69.21%的患者超声心动图为阳性,96.49%的患者体内D-二聚体的水平有所提高。结论急诊主动脉夹层患者的主要临床表现为疼痛。当伴有高血压、血压不对称或者D-二聚体水平提高时,有提示患病的可能性。
Objective To analyze the clinical characteristics of emergency patients with aortic dissection to improve the diagnosis of emergency and improve the prognosis. Methods Data from 67 patients with aortic dissection in the emergency department from September 2011 to September 2012 were analyzed. Results The sudden pain rate of sudden posterior sternal tear in 67 patients was 92.53%. At onset of systolic blood pressure> 180mmHg 54 patients, accounting for 80.60%. The positive rate of chest radiography was 52.46%. Echocardiography was positive in 69.21% of patients, while D-dimer was increased in 96.49% of patients. Conclusions The main clinical manifestation of acute aortic dissection is pain. When accompanied by high blood pressure, blood pressure asymmetry or D-dimer levels increased, there is the possibility of illness.