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目的探讨主动脉夹层的临床特点及基层医院对该病的诊治方法。方法通过对本院内科自2005年1月～2011年10月收治的46例主动脉夹层病例的临床资料进行回顾性分析。结果 46例中男32例,女14例,男女比为2.29︰1,年龄分布29～83岁,中位年龄53岁。结论对突发性剧痛难忍,镇痛药疗效差者无论血压高低,均应考虑到主动脉夹层可能,尤其是疼痛部位从上至下转移者,要重视普通胸片上主动脉异常增宽的征象及心脏B超的提示,及时作CTA即可确诊,处置上及时控制血压和减慢心率镇静和卧床休息,是十分重要的方法。适时转运至上级医院治疗可提高其生存率。
Objective To investigate the clinical features of aortic dissection and the diagnosis and treatment of the disease in primary hospitals. Methods The clinical data of 46 cases of aortic dissection treated in our hospital from January 2005 to October 2011 were analyzed retrospectively. Results 46 cases of male 32 cases, 14 females, male to female ratio was 2.29: 1, the age distribution of 29 to 83 years old, the median age of 53 years. Conclusions For sudden severe pain, poor efficacy of analgesics regardless of the level of blood pressure should be considered aortic dissection may be, especially the pain from the top to the bottom metastasis, we should pay attention to the common chest anomalous abnormal widened Signs and heart B-tips, timely diagnosis of CTA can be timely treatment to control blood pressure and reduce heart rate and bed rest, is a very important method. Timely transfer to higher-level hospital treatment can improve its survival rate.