急性主动脉夹层分离(acuteaorticdissecyion)过去曾被称为急性主动脉夹层瘤(acutedissctionaortiec an eurysm),近年来已普遍得到纠正。其特点是血液渗入主动脉中层形成血肿,并沿主动脉壁延伸剥离的严重心血管急症。由于发病急剧,临床表现复杂多变,故迄今仍有相当比例因漏诊、误诊而死亡,因而提高早期确诊是十分必要的。现将1例误诊为急性胰腺炎的急性主动脉夹层分离的病例报导如下。 Acute aortic dissection has in the past been referred to as acuted dissection aneurysm and has been generally corrected in recent years. It is characterized by blood penetrating into the middle of the aorta to form a hematoma that extends along the aortic wall for severe cardiovascular emergencies. Due to the rapid onset and the complicated and changing clinical manifestations, so far a considerable proportion of them have died of misdiagnosis and misdiagnosis. Therefore, it is necessary to improve early diagnosis. A case of acute aortic dissection misdiagnosed as acute pancreatitis is reported below.