65例胸主动脉夹层病例回顾性临床研究 word格式.docxVIP

AN RETROPECTIVE ANALYSIS OF 65 CLINICAL CASES FOR THORACIC AORTIC DISSECTIONABSTRACTBackground: Thoracic Aortic Dissection is a common and very severe disease which always threatens the health and lives of people. The features of the disease are high mobility and high mortality. Although the diagnosis and treatment measures of Thoracic Aortic Dissection are improved, Thoracic Aortic Dissection is still a common disease which threatens the public.Objective: To investigate the basic line, clinic characteristic, complication, miss-diagnosis rate, risk factors and in-hospital or short-term prognosis of patients with Thoracic Aortic Dissection (TAD) .Methods: Retrospect analysis of 65 patients who admitted to our hospital for Thoracic Aortic Dissection from May 2005 to Mar 2009, compared with in-hospital patient with chest pain but without suffer from any disease during the same time. Patients with TAD were divided into two groups, including Standford A type acute dissection and Standford B type acute dissection. Analysis their clinical characteristic, complication ,Imagelolgy test and Lab test, to conclude the risk factors and in-hospital or short-term prognosis of patients with Thoracic Aortic Dissection.Results: Comparing patients with different types of aortic dissection ,there were two clincal indexes seem to relate to the dissection,AAO（P=0.043） and Tg（P=0.014）, and also several complications seemto relate to the site of aortic dissection , smoke （ P0.001 ） ,SBP（P=0.017）,DBP（P=0.006）, dissection involve renal artery（P=0.005）,PE（P=0.011）. 29.23% of patients suffering from aortic dissection were first missed-diagnosis. CTA can be one of the priority way to make differential diagnosis for aortic dissection.Compared with patient suffering from chest pain but without suffering from any other disease, for patients with aortic dissection, there were several clinical indexes seem to relate to the dissection, Hct（P=0.041）,WBC（P0.001）,percentag