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急性和慢性主动脉夹层。

Acute and chronic aortic dissection.

作者信息

Henning Robert J, Eikman Edward, Siddique Patel Maqsood

机构信息

Department of Medicine, University of South Florida College of Medicine, Tampa, Florida 33612, USA.

出版信息

Heart Dis. 2002 Jul-Aug;4(4):231-41. doi: 10.1097/00132580-200207000-00006.

DOI:10.1097/00132580-200207000-00006
PMID:12147183
Abstract

Each year acute aortic dissection is diagnosed in 2,000 individuals in the United States. Acute aortic dissection is no longer a catastrophic event because this problem can be rapidly diagnosed with current medical technology, and therefore promptly treated with medication and surgery. Consequently, patients with aortic dissection can survive for 10 to 20 or more years after the initial event. However, there is considerable current debate regarding the most optimal technique(s) for the diagnosis of aortic dissection. Moreover, little information is available on the best methods for the long-term assessment and treatment of patients who have been successfully treated for acute aortic dissection. This report reviews the current techniques that are available for the diagnosis of aortic dissection and discusses the important issues regarding the acute and long-term treatment of patients with this problem.

摘要

在美国,每年有2000人被诊断出患有急性主动脉夹层。急性主动脉夹层不再是一场灾难性事件,因为借助当前的医疗技术,这个问题能够迅速得到诊断,进而及时通过药物和手术进行治疗。因此,主动脉夹层患者在初次发病后能够存活10至20年甚至更久。然而,目前对于诊断主动脉夹层的最佳技术存在相当大的争议。此外,关于已成功治疗急性主动脉夹层患者的长期评估和治疗的最佳方法,几乎没有相关信息。本报告回顾了目前可用于诊断主动脉夹层的技术,并讨论了有关该疾病患者急性和长期治疗的重要问题。

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