腹主动脉夹层的超声诊断价值.docVIP

精品论文 参考文献 腹主动脉夹层的超声诊断价值 何利群 　　自贡市第四人民医院特检科 四川自贡 643000 　　【摘 要】目的：探讨超声诊断腹主动脉夹层的价值，为临床提供科学的彩色多普勒超声心动图诊断、为患者制定快速准确的治疗方案。方法：回顾性分析我院彩色多普勒超声诊断腹主动脉夹层的声像图表现及随访结果，分析腹主动脉夹层的声像图特点。结果：30例腹主动脉夹层均有腹主动脉内径增粗，腹主动血肿，致使腹主动脉壁从中层剥离并向一定范围内延伸扩展。结论：腹主动脉夹层是一种严重的疾病，超声检查及诊断主动脉夹层的可靠方法，对其早期诊断及临床处理具有重要价值。 　　【关键词】 腹主动脉夹层；剥离；撕裂 　　【中图分类号】R445.1 【文献标识码】B 【文章编号】1674-8999（2015）8-0099-01 　　【Abstract】Objective：to investigate the value of ultrasonography in the diagnosis ofabdominal aortic dissection, to provide scientific and accurate color Doppler ultrasound diagnosis, treatment plan Heartbeat rapidly and accurately for patients for clinical.Methods：a retrospective analysis of ultrasonography and follow-up results of color Doppler ultrasound in the diagnosis of abdominal aortic dissection, analyze the sonographic features of abdominal aorticdissection.Results：of 30 cases of abdominal aortic dissection of the abdominal aortathickened, abdominal aortic hematoma,abdominal aortic wallfrom middle peel and to a certain range extension.Conclusion：abdominal aortic dissection is a serious disease, reliablemethod of ultrasonic inspection and diagnosis of aortic dissection, and has important value for the early diagnosis and clinical treatment. 　　【Keywords】abdominal aortic dissection tears 　　Aortic dissecting aneurysm and aortic dissection, is one of the mostcommon and most complex, the most dangerous of cardiovascular disease. The disease incidence of sharply, viscera ischemia symptomsbranches of aorta vascular sudden severe pain, shock and pressurewhen the corresponding. 65% - 75% patients in acute period died ofcardiac tamponade, cardiac arrhythmia, cardiac complications in [1] 　　主动脉夹层动脉瘤又称主动脉夹层，是较常见也是最复杂、最危险的心血管疾病之一。本病多急剧发病，突发剧烈疼痛、休克和血肿压迫相应的主动脉分支血管时出现的脏器缺血症状。65%～75%患者在急性期死于心脏压塞、心律失常等心脏合并症。 　　腹主动脉夹层均有腹主动脉壁内膜损伤，中层弹力纤维粘液变性及囊性坏死，内膜撕裂后高压血流进入中层，使主动脉壁形成夹层，血肿，致使主动脉壁从中层剥离并向一定范围内延伸扩展。 　　1 资料与方法 　　（1）研究对象 　　选择2013年1月—2013年12月，我院超声检查的腹主动脉夹层的患者30例，年龄25-92岁，7例经手术动脉内支架植入术治愈出院，20例经内科保守治疗后症状改善，2例因动脉瘤破裂抢救无效死亡,1例未愈出院