主动脉夹层动脉瘤是主动脉常见而最严重的心血管病征。此病是循环血液渗入主动脉血管壁而形成的血肿,起病急,变化快如不能及时诊断,正确处理,常导致死亡。临床常因其发生部位和器宫受压及组织穿破程度的不同,表现复杂,易被误诊为急性心肌梗塞,瓣膜病,急腹症等。为了迅速提高对本病的病因、发病机理、临床表现及诊治水平,缩小同国外先进水平的较大差距,乃当前内、外科医师的重要课题之一。本文试图概括介绍已被临床实践证实的某些有关资料。 Aortic dissecting aneurysms are the most common and most severe cardiovascular manifestations of the aorta. The disease is circulating blood into the wall of the aorta and the formation of hematoma, acute onset, rapid change can not be promptly diagnosed, properly treated, often leading to death. Often because of its clinical site of occurrence and uterine compression and tissue perforation of different degrees, the performance of complex, easily misdiagnosed as acute myocardial infarction, valvular disease, acute abdomen and so on. In order to promptly improve the etiology, pathogenesis, clinical manifestations and diagnosis and treatment of this disease, it is one of the important topics for current surgeons and surgeons to narrow the large gap with the advanced foreign countries. This article attempts to outline some of the relevant information that has been corroborated by clinical practice.