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目的提高临床医师对主动脉夹层动脉瘤的认识,降低误诊率。方法对新疆维吾尔自治区人民医院2007-09-2009-09收治138例主动脉夹层动脉瘤病例资料中误诊的34例病例资料进行回顾性分析。结果主动脉夹层动脉瘤误诊率为24.64%,可误诊为内外科各种疾病,52.94%误诊为急性冠脉综合征;行急诊外科手术、主动脉腔内隔绝术、内科保守治疗,34例误诊病例中好转22例,死亡12例,总病死率35.29%。结论主动脉夹层动脉瘤临床表现复杂多样,临床医生认识不足,极易误诊漏诊。
Objective To improve clinicians’ understanding of aortic dissection aneurysm and reduce the rate of misdiagnosis. Methods The data of 34 cases misdiagnosed in 138 cases of aortic dissecting aneurysms admitted to People ’s Hospital of Xinjiang Uyghur Autonomous Region from 2007-09-2009-09 were retrospectively analyzed. Results The misdiagnosis rate of aortic dissecting aneurysm was 24.64%, which could be misdiagnosed as various diseases of internal medicine and surgery, 52.94% of them were misdiagnosed as acute coronary syndrome. Emergency surgery, aortic endovascular exclusion, conservative treatment of internal medicine and 34 cases of misdiagnosis Twenty-two cases improved and 12 died, with a total case fatality rate of 35.29%. Conclusions The clinical manifestations of aortic dissection aneurysm are complex and diverse, and clinicians lack of knowledge. They are easily misdiagnosed and missed.