Analysis Of Clinical Records Of 203 Patients With Aortic Dissection

Objective: To explore t he clinical features, diagnosis, treatment and prognosis of aortic dissection. Methods: A retrospective review was conducted in 203 cases, which diagnosed as AD and treated in our hospital from Jan 2002 to July 2009.All patients were divided into two groups according to the time of diagnosis, compare the motality; Analyse retrospectively the clinical symptoms and misdiagnosis; compare the diagnosis rate of the three methods: D-Echo?SCT?MR I; compare the curerate of the three groups of using different treatment. Results: The motality of patients diagnosis in 48h is 12.5%, 49-96h is 16.7%, 97h is 46.7%; the A?B stage of AD patient shows significant differences of the first symptoms and the in cidence of hypotension? shock ? AMI etc. The rate of misdiagnosis is 20.4% in this group. The motality of A stage is higher than B stage. The cure rate of different treatment is 73%?96.1%and 66.6% (P<0.05). Conclusion: There are significant relationship between the time of diagnosed and prognosis, symptoms of AD are complicated and variable; Symptoms of AD are complicated and variable, resulting in a high misdiagnosis rate; The three ways of examine are useful, should be chosen according to the feature of patients. Accurate diagnosis energetic medical therapy and surgery, interventional stenting depending on the types and conditions of AD might lower the death rate and improve the prognsis of AD patients.