The Clinical Character, Diagnosis And Treatment Of Aortic Dissection

Objective To investigate the clinical character, diagnosis and treatment of aortic dissection.Methods Clinical data of the pathogeny, inducement, clinical manifestation, accessory examination, diagnostic classification, treatment methods and effect of 68 patients with aortic dissection in recent five years were retrospectively analyzed. Postoperative regularly review the aortic enhancement CT and three-dimensional reconstruction, at the same time using the telephone, and follow-up outpatient and hospitalization review methods, content mainly including blood pressure and heart rate control, the morphology of tumors, complications and survival rates, etc.Results Stanford type A in 21 cases, Stanford type B in 47 cases. Hypertension was the main high risk factor, the first symptom for most of patients was the Chest and back pain. Enhanced spiral CT scans and three dimensional reconstruction of aorta were benefit to diagnose definitely. Among 17 cases proceeded with cardiothoracic surgical treatment,2 cases(11.8%) died.43 cases were performed endoluminal stent-graft implantation, and 2 cases(4.7%) occurred endoleak, one case(2.3%) died.5 cases(7.3%) died of before operation,3 cases(4.4%) auto-discharged. By Follow-up the remaining patients, we found that no one appeared the related complications of aortic dissection or operations and owned a good total life quality.Conclusions Early diagnosis and reasonable treatment in time are the key to improve the prognosis of patients with aortic dissection.