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酷似胃溃疡的急性主动脉夹层：法医学意义

Acute aortic dissection mimicking a gastric ulcer: Medico-legal implications.

作者信息

Mesrati Med Amin, Boussaid Marwa, Abdejlil Nouha Ben, Zakhama Abdelfeteh, Aissaoui Abir

机构信息

Department of Forensic Medicine Taher Sfar Hospital Mahdia Tunisia.

Department of Cytology and Pathology Fattouma Bourguiba Hospital Monastir Tunisia.

出版信息

Clin Case Rep. 2019 Jul 21;7(9):1651-1654. doi: 10.1002/ccr3.2315. eCollection 2019 Sep.

DOI:10.1002/ccr3.2315
PMID:31534719
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6745397/
Abstract

The diagnosis of aortic dissection is often difficult because the symptoms are usually non-specific. AD should be considered in the differential diagnosis of all cases of idiopathic retrosternal pain. Misdiagnosis of AD is a common cause of legal suits in medical practice. Prevention requires a complete and thorough evaluation.

摘要

主动脉夹层的诊断通常很困难，因为症状往往不具有特异性。在所有特发性胸骨后疼痛病例的鉴别诊断中都应考虑主动脉夹层。主动脉夹层的误诊是医疗实践中法律诉讼的常见原因。预防需要进行全面彻底的评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb05/6745397/fc8ef23c60c2/CCR3-7-1651-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb05/6745397/126e838398e0/CCR3-7-1651-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb05/6745397/fc8ef23c60c2/CCR3-7-1651-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb05/6745397/126e838398e0/CCR3-7-1651-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb05/6745397/fc8ef23c60c2/CCR3-7-1651-g002.jpg

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J Thorac Dis. 2018 Mar;10(3):1815-1824. doi: 10.21037/jtd.2018.02.42.
2
The missed diagnosis of aortic dissection in patients with acute myocardial infarction: a disastrous event.急性心肌梗死患者主动脉夹层的漏诊：一场灾难性事件。
J Thorac Dis. 2017 Jul;9(7):E636-E639. doi: 10.21037/jtd.2017.06.103.
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Aortic Dissection and Sudden Unexpected Deaths: A Retrospective Study of 31 Forensic Autopsy Cases.
主动脉夹层与意外猝死：31例法医尸检病例的回顾性研究
J Forensic Sci. 2015 Sep;60(5):1206-11. doi: 10.1111/1556-4029.12768. Epub 2015 Mar 13.
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Circulation. 2013 May 21;127(20):2031-7. doi: 10.1161/CIRCULATIONAHA.112.000483. Epub 2013 Apr 18.
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