主动脉夹层动脉瘤(下称夹层主动脉瘤)发病急,变化快,死亡率高,我们抢救1例报导如下。患者男,62岁。持续心前区剧痛,向腹、下背及腰部放射12小时,伴右下肢麻木及血尿,1983年11月16日急诊入院。发病于用力弯腰洗脚时。4年来患高血压性心脏病。体检:血压240/30,痛苦病容,冷汗,紫绀,颈静脉轻度怒张。心界不大, Aortic dissection aneurysm (hereinafter referred to as dissecting aortic aneurysm) acute onset, rapid change, high mortality, we rescue one case reported as follows. Male patient, 62 years old. Continued precordial pain, to the abdomen, lower back and waist radiation for 12 hours, with the right lower limb numbness and hematuria, November 16, 1983 emergency admission. The incidence of bending over the feet when forced to bend. 4 years suffering from hypertensive heart disease. Physical examination: blood pressure 240/30, painful, cold sweat, cyanosis, mild jugular vein engorgement. Heart is small,