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报告24例主动脉夹层(AorticDissectionAD)超声检查结果。合并高血压病12例、马凡氏综合征6例。经胸、腹超声诊断20例(83.2%),经食管超声诊断4例。按DeBakey分型Ⅰ型13例、Ⅱ型5例、Ⅲ型6例。71%病例存在中至重度主动脉瓣关闭不全。结果表明超声检查对主动脉夹层的受累部位、合并症和估测心功能可提供可靠资料,是诊断主动脉夹层较为理想的方法。经胸、腹和经食管超声检查结合起来能提高其诊断率。
24 cases of aortic dissection (Aortic DissectionAD) ultrasound findings. In 12 cases with hypertension, Marfan syndrome in 6 cases. Twenty cases (83.2%) were diagnosed by transthoracic and abdominal ultrasonography and 4 cases were diagnosed by transesophageal echocardiography. According to DeBakey classification Ⅰ type in 13 cases, Ⅱ type in 5 cases, Ⅲ type in 6 cases. 71% of patients with moderate to severe aortic regurgitation. The results show that the ultrasound examination of aortic dissection site involvement, complications and assessment of cardiac function can provide reliable information, diagnosis of aortic dissection is the ideal method. Combined transthoracic, abdominal and transesophageal ultrasonography can improve the diagnostic rate.