Analysis Of Clinical Records Of 71 Patients With Aortic Dissection

Analysis of Clinical Records of 71 Patients WithAortic DissectionDepartment of Cardiology, Medical School of ZhejiangUniversitySpeciality Cardiology Postgraduate Qinggang Zhang Supervisor Liangrong ZhengObjectives :To explor the basic characteristics, clinical features,misdiagosis, examination methords of aortic dissection (AD) and treatmentof aortic dissection (AD) .Methods :Retrospective analysis of clinical records of 71 patients with AD.Results :Hypertension was the , most important cause of AD. The symptoms and physical signs of the 70 AD patients were diverse. Chest pain was a common initial symptoms but some patients initial symptoms were atypical. The origins of AD was in ascendiong aorta when patients had clinical appearance mimicking myocardial infarction, and in descending aorta when patients had pain involving shoulders, dorsum, waist, abdomen or lower limbs. Some patients with AD had complications such as pericardial effusion , Pleural effusion , aortic regurgitation and so on . The echocardiography, CT and MRI had their Characters.But the combination of them may help to make rapid diagnosis.We find the echocardiography was the best examination methods for its cheap prise and better accur. There are Surgery , interventional stenting or medical therapy for AD, in which the interventional stenting had good applied perspective. Conclusion :Hypertension was the ,most important cause of AD. Symptoms of AD are complicated and variable , resulting in a high misdiagnosis rate. Clinical symptom had some relationship with the orign of AD. Surgery ,interventional stenting or medical therapy for AD depends on accurate diagnosis ,actiue medical therapy or the types of AD.