主动脉夹层撕裂19例误诊分析

Analysis on misdiagnosis of 19 cases with aortic dissection

关键词:  主动脉夹层撕裂  诊断  误诊  原因分析

Key words:  aortic dissection  diagnosis  misdiagnosis

摘要:

［目的］分析主动脉夹层撕裂的误诊情况以提高对此病的认识。［方法］ 选择30例主动脉夹层撕裂中误诊的19例主动脉夹层撕裂的病例资料，对临床表现、确诊方法、误诊情况进行分析。［结果］ 误诊的疾病为急性心梗、急性脑血管病、急腹症、胰腺炎、胆石症、急性肾衰等，总误诊率63.3％。［结论］ 主动脉夹层撕裂疾病复杂，误诊率高，预后差。临床医生应提高对此病的认识，以期早诊断，早治疗。

Abstract:

［Objective］ To Analysis misdiagnosis of aortic dissection to raise the realization. ［Methods］ Nineteen of 30 cases of aortic dissection were selected in Huludao Central hospital during 1996-2004. ［Results］ Nineteen cases were misdiagnosed with 9 of acute myocardial infarction, 2 of acute cerebravascular disease, 3 of acute abdomen, 2 of pancreatitis, 2 of cholelithiasis, 1 of acute renal failure. the rate of misdialgnosis is 63.3% ［Conclusions］ Aortic dissection is a kind of complicated disease and misdiagnosis is high and prognosis is bad. Clinicist should realize the disease for really diagnosis and treatment.