157例主动脉夹层患者的临床特征分析Clinical features of one hundred and fifty seven aortic dissection and prognosis
黄笑鸣,张莉,韩辉
摘要(Abstract)：
目的研究主动脉夹层患者临床特征,提高诊治水平。方法以螺旋CT主动脉重建和/或经胸超声心动图为诊断依据,回顾性分析2004年至2009年4月157例主动脉夹层患者的性别、年龄、既往病史、入院时心率、收缩压水平与预后的关系。结果既往有高血压诊断史者较无高血压病史者死亡率高(15%比7%),入院时心率≥90次/分较<90次/分者死亡率高(22.9%比7.3%)。入院时收缩压<100mm Hg或≥140mm Hg者较正常范围者死亡率高(分别是40.0%、11.4%与8.5%)。双侧上肢血压不对称者死亡率较对称者高(42.9%比7.1%);男性死亡高危年龄为41～50岁(死亡率28%)。结论男性患者41～50岁、入院时心率≥90次/分、收缩压≥140mm Hg或<100mm Hg、双侧血压不对称,均是死亡的危险因素,差异具有统计学意义。
关键词(KeyWords)： 主动脉夹层;临床特征;预后
基金项目(Foundation):
作者(Author): 黄笑鸣,张莉,韩辉
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