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目的:探讨主动脉夹层(AD)的早期诊断要点。方法:分析总结我科40例疑诊AD患者的临床资料,40例全部或部分行心电图、X线胸片、彩色多普勒超声心动图,CTA。结果:上述检查中,诊断符合率分别为0%(0/40)、25.0%(3/12)、88.9%(32/36)、100%(13/13)。结论:心电图、X线胸片对AD不能明确诊断,仅可做筛选;超声心动图对AD诊断符合率较高可作首选;CTA对AD起确诊作用,根据临床症状和体征,也能初步诊断AD。
Objective: To explore the early diagnosis of aortic dissection (AD). Methods: The clinical data of 40 suspected AD patients in our department were analyzed and summarized. All or part of 40 patients underwent electrocardiogram, X - ray, color Doppler echocardiography and CTA. Results: The diagnostic coincidence rates were 0% (0/40), 25.0% (3/12), 88.9% (32/36) and 100% (13/13) respectively. Conclusion: ECG, X-ray can not be a clear diagnosis of AD, only to be screened; echocardiography can be the first choice for the diagnosis of AD with higher coincidence rate; CTA can confirm the diagnosis of AD, and based on clinical symptoms and signs, AD.