主动脉夹层的误诊原因分析(2)
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参见附件。
主动脉夹层的药物治疗主要是最大限度地控制血压和心率,降低对动脉内壁的压力,达到减少夹层撕裂及破裂风险的目的[5]。Stanford B型AD患者应考虑行介入治疗,疗效确切,避免外科手术风险,降低死亡率[6,7]。Stanford A型AD患者应尽快选择外科手术治疗[8-10]。
综上主动脉夹层临床表现多样,不典型,极易误诊漏诊,提高接诊医师的诊治及专业水平,提高警惕性,克服思维局限性,注意对主动脉夹层的筛选;及时行外科手术或介入治疗,降低死亡率。
[参考文献]
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(收稿日期:2012-11-15)
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