46 patients with acute aortic dissection of the Diagnosis and Treatment.docVIP

 PAGE \* MERGEFORMAT 6 46 patients with acute aortic dissection of the Diagnosis and Treatment [Abstract] Objective] The symptoms of acute aortic dissection and signs of a retrospective analysis, raising awareness of this disease and improve prognosis. [Methods] diagnosed with acute aortic dissection in 46 patients with clinical data were retrospectively analyzed. [Results] 46 patients with acute aortic dissection in patients with different clinical manifestations, chest pain is a common first manifestation, high blood pressure leading to a common cause of acute aortic dissection, ultrasound and other imaging studies can help with rapid diagnosis and location. Such as the timely diagnosis and treatment can improve the prognosis. [Conclusion] The main cause of acute aortic dissection is hypertension, timely diagnosis and treatment can improve the prognosis. [Keywords:] acute aortic dissection; hypertension; diagnosis; treatment Of 46 patients with acute aortic dissection in patients with clinical data were retrospectively analyzed with a view to enhancing the understanding of acute aortic dissection, improve diagnosis and treatment rates, improve the prognosis. A clinical data 1.1 General information from March 1997 to August 2008 in our hospital by ultrasound, CT and MRI diagnosis of acute aortic dissection in patients with 46 cases, male 30 cases, 16 cases for females, age 30.1 ~ 82.5 years, mean 63.5 years old. De Bakey classification: Ⅰ type 21 cases, Ⅱ type 11 cases, Ⅲ in 14 cases. 29 cases of acute aortic dissection has a clear history of hypertension, high blood pressure 160 ~ 230/100 ~ 125mmhg, for several years to decades, ranging from drugs and poor control. 13 cases no obvious incentive to move heavy objects two cases occurs when one cases of severe coughing occurred when the self-one cases of chest tightness, while the incidence of chest pounding. 1.2 Clinical manifestations solely for the tear-like initial symptoms thoracodorsal pain in 26