主动脉夹层动脉瘤的超声心动图诊断（Echocardiographic diagnosis of aortic dissecting aneurysm）.docVIP

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主动脉夹层动脉瘤的超声心动图诊断（Echocardiographic diagnosis of aortic dissecting aneurysm）.doc

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主动脉夹层动脉瘤的超声心动图诊断（Echocardiographic diagnosis of aortic dissecting aneurysm）

主动脉夹层动脉瘤的超声心动图诊断（Echocardiographic diagnosis of aortic dissecting aneurysm） Echocardiographic diagnosis of aortic dissecting aneurysm 2010-06-02 Wu Yanxian, Guo Xinyou, Wu Saizhu, Weng Changhong, Liu Yili Dissecting aneurysm of aorta (AD) is one of the critical diseases in cardiovascular disease. It is characterized by sudden onset, rapid development and high fatality rate in the acute phase. According to statistics, without special treatment, about 3% of the patients died suddenly, the incidence of death within 2 days accounted for 37% to 50%, the incidence of death within 1 weeks accounted for 60% to 70% [1]. The clinical symptoms of AD are diverse and complex. Early diagnosis is difficult, and the rate of misdiagnosis and missed diagnosis is higher. We summarized and analyzed the clinical and auxiliary examination data of 42 patients with suspected AD, and focused on the diagnostic value of echocardiography and various auxiliary examinations for AD, in order to improve the early diagnosis rate of AD. 1 clinical data and methods 1.1 clinical data: it was taken from the Department of Cardiology of the first peoples Hospital of Shunde in 1992~1997 years and the hospitalized patients in Department of Cardiology of Nanfang Hospital for 1995~1997 years. There were 30 males and 12 females, a total of 42 cases, aged 18~68 years (46 + 12) years. There were 32 cases of hypertension (8 cases with coronary heart disease), 4 cases of Marfan syndrome, 3 cases of chronic renal insufficiency (uremia), 1 cases of congenital coarctation of the aorta, and 2 cases of Takayasu arteritis. Methods: all 1.2 patients admitted to hospital were physical examination and routine laboratory examination, 42 cases underwent electrocardiogram (ECG), chest X-ray, echocardiography (UCG), 28 cases with CT and magnetic resonance imaging (MRI) examination, 8 patients underwent aortic retrograde angiography, 3 cases of vascular replacement surgery. 2 Result See table 1. Table 1 Comparison of diagnosti