临床误诊误治2011，Vol.24Issue(2)：61-62,2.
主动脉夹层11例临床分析
Misdiagnosis Analysis of 11 cases of Aortic Dissection
杜玉萍 1张梅2
作者信息
- 1. 652500,云南,澄江,澄江县人民医院内一科
- 2. 652500,云南,澄江,澄江县人民医院病案室
- 折叠
摘要
Abstract
Objective To investigate clinical features, early diagnosis and therapy of aortic dissection (AD).Methods The clinical data of 11 patients with AD was retrospectively analyzed. Results There were many clinical manifestations, such as sudden severe tearing pain on chest and back ( 8 cases), under the xiphoid pain, nausea and vomiting (2 cases), waist and abdomen pain, vomiting and nausea (1 case). 6 cases were diagnosed as aortic dissection, but 2 cases were misdiagnosed as acute myocardial infarction, 2 cases as acute gastroenteritis and 1 case as renal colic and renal insufficiency. The misdiagnosed cases were diagnosed by color Doppler ultrasound and post-enhanced spiral CT scan in 4 cases, autopsy in 1 case. After treatment 5 cases improved, the shortest length of stay was from 7 d up to 35 d; 6 patients died. Conclusion AD is liable to be misdiagnosed because of its diverse clinical manifestations, and timely diagnosis and rational treatment are important in improving the prognosis.关键词
主动脉夹层/误诊/心肌梗死/胃肠炎Key words
Aortic dissection/ Misdiagnosis/ Myocardial infarction/ Gastroenteritis分类
医药卫生引用本文复制引用
杜玉萍,张梅..主动脉夹层11例临床分析[J].临床误诊误治,2011,24(2):61-62,2.
