外伤性主动脉夹层3例报告及文献综述(1)
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摘要：目的 外伤性主动脉夹层病例报道及文献综述。方法 对我科近期收治外伤性主动脉夹层病例结合文献进行分析。结果 外伤性主动脉夹层为一罕见凶险的疾病，常因未及时诊治导致死亡。结论 对于外伤患者，特别是车祸伤患者，出现不明原因的失血性休克、昏迷、脉压不对称等情况，应考虑主动脉夹层并给于及时正确的诊治。
关键词：外伤；主动脉夹层；综述
Traumatic Aortic Dissection in 3 Cases Report
MENG Xi-yun,ZHAO Yu
(Department of Vascular Surgery,First Affiliated Hospital of Chongqing Medical University,China)
Abstract：ObjectiveReport and literature review of traumatic aortic dissection. Methods Study recently-treated traumatic aortic dissection in our department with reviewing literatures. Results Traumatic aortic dissection is a rarely dangerous disease which often leads to death because of misdiagnosis and mistreatment.Conclusion For traumatic patients，especially in car accident injury，we should consider the aortic dissection and give timely and correct diagnosis and treatment when found unexplained hemorrhagic shock，coma，asymmetric pulse pressure.
Key words：Trauma;Aortic dissection;Review
主动脉夹层是一发展快，病情重，死亡率高的疾病，50% 的患者在48h内死亡, 每小时死亡的危险占1% ,70%死于1w内, 90%死于3个月内, 剩余患者中有25% 死于继发于夹层的夹层动脉瘤破裂[1] ......
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