| 主动脉夹层症状与原发破口位置、撕裂范围关系的探讨 |
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| 引用本文： | 徐昶,贺行巍,李柱锡,乔平,刘婉君,刘玉建,高波,沈振军,曾和松. 主动脉夹层症状与原发破口位置、撕裂范围关系的探讨[J]. 内科急危重症杂志, 2015, 21(4) |
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| 作者姓名： | 徐昶 贺行巍 李柱锡 乔平 刘婉君 刘玉建 高波 沈振军 曾和松 |
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| 作者单位： | 华中科技大学同济医学院附属同济医院心内科,华中科技大学同济医学院附属同济医院心内科,华中科技大学同济医学院附属同济医院心内科,华中科技大学同济医学院附属同济医院心内科,华中科技大学同济医学院附属同济医院心内科,华中科技大学同济医学院附属同济医院心内科,华中科技大学同济医学院附属同济医院心内科,华中科技大学同济医学院附属同济医院心内科,华中科技大学同济医学院附属同济医院心内科 |
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| 摘 要： | 目的:探讨主动脉夹层首发症状与内膜原发破口位置和撕裂范围的关系。方法:回顾性总结931例主动脉夹层患者的首发症状、疼痛部位、是否有转移性疼痛、撕裂范围等情况,分析不同症状与原发破口和撕裂范围的关系。结果:疼痛占夹层首发症状的91.2%,其中以胸痛(40.3%)、胸背痛(25.9%)和腹痛(11.7%)最多见,17.6%的患者合并有转移性疼痛。表现为无痛(包括晕厥、胸闷、气短)或仅为胸痛症状的患者以A型夹层多见(均P0.05)。而以背痛、腹痛、腰痛等为首发症状的多见于B型夹层(均P0.05),且此类患者的内膜撕裂终点多位于腹主动脉及以下血管,而首发症状为头、颈或咽喉部疼痛的患者夹层撕裂范围多局限于胸降主动脉。结论:主动脉夹层症状呈多样性特点,首发症状与原发破口位置和撕裂范围之间存在规律性,此有助于对急诊疑似主动脉夹层进行初步的诊断。
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| 关 键 词： | 主动脉夹层 症状 无痛 转移性疼痛 |
| 收稿时间： | 2015-04-29 |
| 修稿时间： | 2015-05-31 |
Investigation of the relationship between symptoms of aortic dissection and location of initial intimal tears or dissection range |
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| Chang Xu,Xingwei He,Zhuxi Li,Ping Qiao,Wanjun Liu,Yujian Liu,Bo Gao,Zhenjun Shen and Hesong Zeng. Investigation of the relationship between symptoms of aortic dissection and location of initial intimal tears or dissection range[J]. Journal of Internal Intensive Medicine, 2015, 21(4) |
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| Authors: | Chang Xu Xingwei He Zhuxi Li Ping Qiao Wanjun Liu Yujian Liu Bo Gao Zhenjun Shen Hesong Zeng |
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| Affiliation: | Department of Cardiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology,Department of Cardiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology,Department of Cardiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology,Department of Cardiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology,Department of Cardiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology,Department of Cardiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology,Department of Cardiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology,Department of Cardiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, |
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| Abstract: | |
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| Keywords: | aortic dissection symptom painless migrating pain |
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