齐祥涛,刘虎

• 1:延安大学附属医院心脏血管医学中心

摘要(Abstract)：

主动脉壁内血肿（IMH）是急性主动脉综合征的一种，根据Stanford分型IMH可以分为A型和B型，其主要的发病机制为主动脉壁滋养血管破裂和主动脉穿透性溃疡。急性发作的胸痛通常为首发或唯一症状。可通过经胸超声心动图、经食管超声心动图、CT和磁共振成像等影像学检查诊断，其中以CT为首选检查。Stanford A型IMH目前多以手术治疗为主，也有进行药物治疗的研究和报道；Stanford B型IMH一般以药物治疗为首选。目前Stanford A型IMH并发症和死亡率均高于B型。本文主要对IMH的病理学特点、诊断和治疗做一综述。

关键词(KeyWords)： 主动脉壁内血肿;急性主动脉综合征;发病机制

Abstract:

Keywords:

基金项目(Foundation): 延安大学附属医院培育基金项目（2022PT-21）

作者(Author): 齐祥涛,刘虎

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