Diagnosis and treatment of 38 cases of aortic dissection.docVIP

 PAGE \* MERGEFORMAT 9 Diagnosis and treatment of 38 cases of aortic dissection [Abstract] Objective To review the diagnosis and treatment of 38 cases of aortic dissection. Methods 38 patients with aortic dissection, male 34 cases and 4 female, average age 52 years. After echocardiography, enhanced multi-slice CT scan or magnetic resonance imaging confirmed. Basic treatment to control blood pressure, reduce left ventricular dp / dt-based, 16 cases with membrane stent implantation. Results 1 cases with laminated tear lead to acute cardiac tamponade died and the rest was discharged improved. Conclusion aortic dissection with rapid, high mortality, early diagnosis and timely intervention to take drugs and treatment can improve prognosis. [Keywords:] Aortic Dissection; diagnosis and treatment of Of aortic dissection (aortic dissection, AD) is a devastating disease, the cardiovascular system, the author of the consecutive 38 cases treated in a summary diagnosis and treatment of aortic dissection are reported below. A clinical data 1.1 General Information in April 2004 ~ 2006 a menstrual echocardiography, enhanced multi-slice CT scan or magnetic resonance imaging confirmed 38 cases of hospitalized patients. Male and 34 cases and 4 female; aged 26 to 74 years old, age 52 years, 36 patients had history of hypertension; with onset within 2 weeks in acute AD, chronic, compared with more than two weeks. AD classification, 26 cases of acute and chronic in 12 cases. 1.2 Clinical manifestations of sudden chest pain in 12 cases, 24 cases of thoracodorsal pain, abdominal pain, 2 cases; of these seven cases with pleural effusion, pericardial effusion in 2 cases, pale and sweating shock-like limbs, the performance of 8 cases. The right neck bruit 4 cases of left cervical bruit in 16 cases, chest and back of vascular murmur in 13 cases, right kidney area bruit in 1 case, the right upper extremity radial artery pulse weakened in 6 cases, left upper extremity radial