摘要
Abstract
Objective To analyze the clinical characteristics , diagnosis and treatment experience of acute B type Stanford aortic intramural hematoma .Methods From June 2013 to August 2014 , 13 patients with acute B Stanford type aortic intramural hematoma were enrolled , the initial admission are treated with lower blood pressure , releasing pain and given seda-tion treatment, CT angiography (CTA) were performed to observe the disease progression , and patients with disease progres-sion were treated with aortic endovascular repair .Results In the course of drug treatment , 5 patients were more stable , after drug treatment, they were discharged from hospital , and 2 patients the intramural hematoma enlarged after 10 days, and they were treated with endovascular repair , 6 cases with aortic ulcer were selected intraluminal surgery .5 patients with drug treat-ment were followed up for 3-14 months, the CTA showed that the intramural hematoma was absorbed in different degree , and there was no chest and back pain occurred again .8 patients were followed up for 6 months, the majority of the hematoma was absorbed, and there were no complications such as peri-stent leakage and stent displacement .Conclusion For patients with Stanford type B aortic intramural hematoma , under the strict observation by CTA , patients can be treated with medicine first , if hematoma enlargement or comorbid aortic ulcer , endovascular repair should be selected .关键词
主动脉壁间血肿,Stanford B型,急性/药物治疗/腔内修复术Key words
Aortic intramural hematoma ,Stanford B,acute/Drug therapy/Endovascular repair
