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目的探讨基层医院转运治疗急性主动脉夹层(AD)的安全性及疗效。方法总结2005-2008年住院确诊的AD患者共10例,分析患者入院-转运时间、入院-死亡时间、临床结局情况。结果 10例AD患者转运上级医院6例,均成功、顺利转送上级医院,入院-转运时间1～21 h,转送上级医院耗时2.5～3.5 h;未转运患者4例,均院内死亡,入院-死亡时间5～25 h。结论 AD患者病情危重,及时诊断、转送大型医疗中心行转运治疗安全、可行,是挽救患者生命的最佳措施。
Objective To investigate the safety and efficacy of primary hospital transport in the treatment of acute aortic dissection (AD). Methods A total of 10 AD patients diagnosed in hospital from 2005 to 2008 were analyzed retrospectively. The hospital admission - transfer time, admission - death time and clinical outcome were analyzed. Results All the 10 AD patients were transfered to the superior hospital in 6 cases, all of which were successfully transferred to the superior hospital. The hospital admission-transfusion time was 1 ~ 21 h, and the patients were transferred to the superior hospital for 2.5 ~ 3.5 h. Death time 5 ~ 25 h. Conclusion AD patients are critically ill, diagnosed timely and transferred to large medical centers for safe and viable transport. It is the best measure to save patients’ lives.