心血管急症主动脉夹层临床研究.docVIP

心血管急症主动脉夹层临床研究 　　[摘要] 目的 研究分析心血管疾病中的主动脉夹层的临床诊治。方法 方便选取2012年3月―2016年10月该院收治的主动脉夹层的患者30例，对其临床资料进行分析总结。结果 采取药物保守治疗的20例患者中15例好转出院，5例出现了夹层破裂出血导致患者死亡；剩余患者中实施介入治疗的有5例，经过治疗情况都好转出院；实施手术治疗的患者有5例，手术后好转出院的有4例，剩余1例死亡。结论 心血管急症中最为严重的病症之一就是主动脉夹层，因此，一定要不断的加强临床的早期诊断，掌握疾病的临床特征，对患者及时的进行救治，还应该对患者的血压进行严格的控制，提高疾病的观察效率，使并发症的发生率降低，大大减少急性期患者的死亡率。 　　[关键词] 心血管急症；主动脉夹层；临床疗效 　　[中图分类号] R714.252 [文献标识码] A [文章编号] 1674-0742（2017）09（c）-0117-03 　　Clinical Research on Aortic Dissection in the Cardiovascular Emergency 　　ZHANG Cheng-dong 　　Department of Emergency Medicine， Zaozhuang Mining Group Teng Nan Hospital， Jining， Shandong Province， 277606 China [Abstract] Objective To research the clinical diagnosis and treatment of aortic dissection in the cardiovascular emergency. Methods 30 cases of patients with aortic dissection admitted and treated in our hospital from March 2012 to October 2016 were convenient selected and the clinical data were analyzed and summarized. Results Of 20 cases with conservative treatment， 15 cases were improved and discharged， and 5 cases died due to dissection rupture and bleeding， and there were 5 cases with interventional treatment and discharged after healing， 5 cases underwent the operation， including 4 discharged cases and 1 death case. Conclusion Aortic dissection is one of the most severe diseases in the cardiovascular emergency， therefore， we must constantly enhance the early clinical diagnosis， master the clinical features of diseases， treat patients in time， and we also should strictly control the blood pressure and improve the observation efficacy of diseases thus reducing the incidence rate of complications and greatly reducing the mortality of patients in the acute stage. 　　[Key words] Cardiovascular emergency； Aortic dissection； Clinical curative effect 　　心血管急?Y的临床治疗中，包括采用药物治疗和其他的治疗并且将其进行循序渐进、有针对性的描述，给出合适的治疗措施，其中主动脉夹层是由于患者的内膜局部出现了撕裂现象，而且遇见比较强有力的冲击，会将内膜慢慢的进行剥离、扩展，最后导致了在患者的动脉内形成了真、假两腔。这才导致发生了撕裂样疼痛症状。人体的主干血管就是主动脉，心脏跳动的压力会直接作用于主动脉，具有非常大的血流量，内膜层一旦撕裂，治疗不及时，就