Al-Wahaibi Khalifa, Al-Dhuhli Humoud, Diputado Teodorico, Alzadjali Nabil
Oman Med J. 2008 Apr;23(2):112-5.
Acute chest pain in hypertensive patients presenting to the emergency room constitute a wide spectrum of life threatening conditions including an acute aortic dissection. Acute Aortic syndromes constitute uncommon but lethal identities, with high morbidity and mortality requiring a high index of suspicion, appropriate diagnostic tools and urgent line of management. The authors are reporting a case of an elderly hypertensive lady, presenting with acute chest pain secondary to type B aortic dissection, which was missed on the initial presentation. The authors reviewed the current practice of diagnosing and managing acute aortic dissection.
因胸痛前往急诊室就诊的高血压患者，可能患有多种危及生命的疾病，其中包括急性主动脉夹层。急性主动脉综合征发病率较低，但却极为致命，其高发病率和高死亡率要求医生保持高度警惕，运用恰当的诊断工具，并采取紧急治疗方案。本文作者报告了一例老年高血压女性患者，该患者因B型主动脉夹层导致急性胸痛，但其首次就诊时被误诊。作者回顾了目前急性主动脉夹层的诊断和治疗方法。
