Wurster Thomas, Riessen Reimer, Haap Michael
Medizinische Klinik III (Kardiologie), Universitätsklinikum Tübingen, Eberhard-Karls Universität Tübingen.
Internistische Intensivstation, Universitätsklinikum Tübingen, Eberhard-Karls Universität Tübingen.
Dtsch Med Wochenschr. 2015 Jan;140(2):104-9. doi: 10.1055/s-0040-100585. Epub 2015 Jan 22.
Acute aortic syndrome (AAS) is a rather rare but often life-threatening cause of thoraco-abdominal pain. AAS includes acute aortic dissection (AD), intramural hematoma (IMH) and penetrating atherosclerotic ulcer (PAU), in which the latter may progress to AD. Suddenly emerging severe pain localized in the chest, back or the abdomen is rather characteristic for acute AD, but painless courses of the disease are also possible. Rapid diagnosis and treatment are crucial for prognosis and survival. Aortic contrast-enhanced computed tomography is the method of choice due to its broad availability, distinguished accuracy and rapid feasibility. In instable patients, transoesophagel echocardiography by an experienced examiner is also applicable. Patients suffering from Type A AD need urgent surgery in most cases, patients.
急性主动脉综合征（AAS）是一种较为罕见但常危及生命的胸腹痛病因。AAS包括急性主动脉夹层（AD）、壁内血肿（IMH）和穿透性动脉粥样硬化溃疡（PAU），其中后者可能进展为AD。急性AD的典型表现是突然出现的局限于胸部、背部或腹部的剧烈疼痛，但该病也可能无痛进展。快速诊断和治疗对预后和生存至关重要。主动脉增强计算机断层扫描因其广泛可用性、高准确性和快速可行性而成为首选方法。对于不稳定患者，经验丰富的检查者进行的经食管超声心动图检查也适用。大多数患有A型AD的患者需要紧急手术。
