Liu Wen-Pin, Ng Kim-Choy
Department of Emergency Medicine, China Medical University Hospital, Taiwan, ROC.
Yale J Biol Med. 2004 May;77(3-4):53-8.
Acute dissection of the aorta can be one of the most dramatic of cardiovascular emergencies. Its symptoms can occur abruptly and progress rapidly. Prompt recognition and appropriate intervention is crucial. However, not all aortic dissections present with classic symptoms of abrupt chest, back, or abdominal pain, and the diagnosis may be missed. Aortic dissection presenting as a sore throat is quite unusual. A 53-year-old man presented with sore throat as the early symptom of an acute thoracic aortic dissection. Unfortunately, the diagnosis was delayed, and the patient died. Given the high morbidity and mortality after delayed recognition or misdiagnosis, aortic dissection should be considered in the differential diagnosis of a patient presenting with sore throat and normal findings of neck and throat, even when there is no classic symptoms.
急性主动脉夹层可能是最严重的心血管急症之一。其症状可突然出现并迅速进展。及时识别和适当干预至关重要。然而，并非所有主动脉夹层都表现为典型的突发胸痛、背痛或腹痛症状，可能会漏诊。以咽痛为表现的主动脉夹层相当罕见。一名53岁男性以咽痛作为急性胸主动脉夹层的早期症状就诊。不幸的是，诊断延误，患者死亡。鉴于延迟识别或误诊后的高发病率和死亡率，即使没有典型症状，对于出现咽痛且颈部和咽喉检查结果正常的患者，在鉴别诊断时也应考虑主动脉夹层。
