临床误诊误治2017，Vol.30Issue(10)：40-43,4.DOI:10.3969/j.issn.1002-3429.2017.10.014
以神经系统症状为首发表现的无痛性主动脉夹层10例分析
Misdiagnosis Analysis of 10 Painless Aortic Dissection Patients with Neurological Symptoms as the First Symptom
摘要
Abstract
Objective To investigate clinical characteristics, misdiagnosed causes and precautionary measures of aor-tic dissection ( AD) . Methods Clinical data of 10 painless AD patients with neurological symptoms as the first symptom dur-ing January 2015 and May 2017 was retrospectively analyzed. Results The 10 patients all had neurological symptoms as the first symptom, and main manifestations were limbs weakness, dizziness, headache and unconsciousness. There were 6 patients were misdiagnosed as having cerebral infarctions and 4 as having encephalorrhagia at the primary diagnosis. After admission, 8 patients were confirmed by aorta computerized tomography angiography ( CTA) , 1 patient by cardiac ultrasonic cardiogram and 1 patient was found AD during craniocerebral interventional operation. After confirmation, 8 patients quitted therapy;1 patient was transferred to another hospital for surgery and then loss of follow-up;1 patient had good recovery after endovascular treatment. Conclusion Aortic dissections with neurological symptoms as the first symptom is rare, and therefore it is easily be misdiagnosed as cerebrovascular diseases. Careful physical examination, early performing aorta CTA and ultrasonic cardio-gram examinations are beneficial for earlier diagnosis.关键词
动脉瘤,夹层/主动脉/误诊/脑梗死/脑出血Key words
Aneurysm/dissecting/Aorta/Misdiagnosis/Brain infarction/Cerebral hemorrhage分类
医药卫生引用本文复制引用
张玉坤,陈慧,霍书花,徐曙光..以神经系统症状为首发表现的无痛性主动脉夹层10例分析[J].临床误诊误治,2017,30(10):40-43,4.基金项目
2011年河北省医学科学研究重点课题(20110055) （20110055）
