Blas-Macedo Jorge, Marquez-Ramírez Dolores, Gómez-Dominguez José de Jesús
Rev Invest Clin. 2007 Jan-Feb;59(1):87-9.
Aortic dissection is a cardiovascular emergency. Its main manifestation is severe chest pain, and approximately 50% of patients present with an elevated systemic blood pressure. Rare reported physical findings include a pulsatile sterno-clavicular joint, dysphagia or testicular tenderness. The absence of sudden onset of pain lowers the likelihood of aortic dissection. We describe a patient in whom aortic dissection was accompanied by fever, nightsweats, suprasternal pain and atrial fibrillation.
主动脉夹层是一种心血管急症。其主要表现为严重胸痛，约50%的患者伴有全身血压升高。罕见的体格检查发现包括搏动性胸锁关节、吞咽困难或睾丸压痛。疼痛未突然发作会降低主动脉夹层的可能性。我们描述了一名伴有发热、盗汗、胸骨上疼痛和心房颤动的主动脉夹层患者。
