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两例有趣的 Stanford A 型急性主动脉夹层病例。

Two Intriguing Cases of Stanford Type A Acute Aortic Dissection.

作者信息

Ahmed Taha, Nair Raunak, Lak Hassan, Lodhi Samra Haroon, Maroo Anjli

机构信息

Internal Medicine, Cleveland Clinic Foundation, Cleveland, USA.

Internal Medicine, Cleveland Clinic - Fairview Hospital, Cleveland, USA.

出版信息

Cureus. 2020 Feb 13;12(2):e6986. doi: 10.7759/cureus.6986.

DOI:10.7759/cureus.6986
PMID:32201663
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7075513/
Abstract

Stanford type A acute aortic dissection (AAD) is a life-threatening illness that presents with chest pain and hemodynamic instability. Prompt and accurate evaluation and management are critical for survival as it is a cardiac surgical emergency. We aim to highlight the physicians about this potentially fatal condition, by reporting two cases of Stanford type A AAD, with atypical presentations that were initially misdiagnosed.

摘要

斯坦福A型急性主动脉夹层（AAD）是一种危及生命的疾病，表现为胸痛和血流动力学不稳定。由于它是心脏外科急症，迅速而准确的评估和处理对于生存至关重要。我们旨在通过报告两例斯坦福A型AAD病例，其具有非典型表现且最初被误诊，以此让医生们关注这种潜在致命疾病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35fd/7075513/42d3b3836a54/cureus-0012-00000006986-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35fd/7075513/5e2686b54454/cureus-0012-00000006986-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35fd/7075513/54287ff5c4b3/cureus-0012-00000006986-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35fd/7075513/826cfeabe231/cureus-0012-00000006986-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35fd/7075513/23d784f03382/cureus-0012-00000006986-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35fd/7075513/f3743b6b52e3/cureus-0012-00000006986-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35fd/7075513/32d8ed08e286/cureus-0012-00000006986-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35fd/7075513/42d3b3836a54/cureus-0012-00000006986-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35fd/7075513/5e2686b54454/cureus-0012-00000006986-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35fd/7075513/54287ff5c4b3/cureus-0012-00000006986-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35fd/7075513/826cfeabe231/cureus-0012-00000006986-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35fd/7075513/23d784f03382/cureus-0012-00000006986-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35fd/7075513/f3743b6b52e3/cureus-0012-00000006986-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35fd/7075513/32d8ed08e286/cureus-0012-00000006986-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35fd/7075513/42d3b3836a54/cureus-0012-00000006986-i07.jpg

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本文引用的文献

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Clinical Predictors for Delayed or Inappropriate Initial Diagnosis of Type A Acute Aortic Dissection in the Emergency Room.急诊室A型急性主动脉夹层延迟或不恰当初始诊断的临床预测因素
PLoS One. 2015 Nov 11;10(11):e0141929. doi: 10.1371/journal.pone.0141929. eCollection 2015.
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Presentation, Diagnosis, and Outcomes of Acute Aortic Dissection: 17-Year Trends From the International Registry of Acute Aortic Dissection.急性主动脉夹层的表现、诊断和结局：国际急性主动脉夹层注册研究 17 年趋势。
J Am Coll Cardiol. 2015 Jul 28;66(4):350-8. doi: 10.1016/j.jacc.2015.05.029.
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Controlled pericardiocentesis in patients with cardiac tamponade complicating aortic dissection: experience of a centre without cardiothoracic surgery.
心脏压塞合并主动脉夹层患者的控制性心包穿刺术：一家无心胸外科的中心的经验
Eur Heart J Acute Cardiovasc Care. 2015 Apr;4(2):124-8. doi: 10.1177/2048872614549737. Epub 2014 Sep 2.
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Am J Emerg Med. 2012 Oct;30(8):1622-6. doi: 10.1016/j.ajem.2011.11.017. Epub 2012 Feb 4.
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Nat Rev Cardiol. 2011 Feb;8(2):103-13. doi: 10.1038/nrcardio.2010.187. Epub 2010 Dec 21.
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Characteristics and in-hospital outcomes of patients with cardiac tamponade complicating type A acute aortic dissection.急性A型主动脉夹层并发心脏压塞患者的特征及院内结局
Am J Cardiol. 2009 Apr 1;103(7):1029-31. doi: 10.1016/j.amjcard.2008.12.013.
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Am J Cardiol. 2007 Mar 15;99(6):852-6. doi: 10.1016/j.amjcard.2006.10.055. Epub 2007 Feb 2.
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