主动脉夹层动脉瘤是比较少见而严重的血管疾病，多数在发病数小时到数天内死亡，死亡率很高。作者曾遇1例主动脉夹层动脉瘤破裂导致急性心包填塞而摔死者，现报告如下。病例资料梁某，男，33岁。某晚食凉馒头、凉开水后入睡。次日晨2时左右觉腹痛，呈持续性绞痛，恶心，呕吐一 Aortic dissection aneurysm is a relatively rare and serious vascular disease, most died within a few hours to a few days of onset, the mortality rate is high. The authors have encountered a case of aortic dissecting aneurysm rupture leading to acute cardiac tamponade and fell to the dead, are as follows. Case information Liangmou, male, 33 years old. Some evening food cool bread, cold water to sleep. About 2 am the next morning to feel abdominal pain, sustained colic, nausea, vomiting