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[主动脉造影和X线计算机断层扫描正常的主动脉夹层。一个不可忽视的诊断陷阱]

[Aortic dissection with normal aortography and x-ray computed tomography. A diagnostic trap not to be ignored].

作者信息

Metz D, Chabert J P, Beruben E, Chapoutot L, Blaise C, Baehrel B, Elaerts J, Bajolet A

机构信息

Service de Cardiologie, Hôpital Robert-Debré, Reims.

出版信息

Ann Cardiol Angeiol (Paris). 1988 Apr;37(4):187-90.

PMID:3369840
Abstract

We are reporting the case of a 63 y.old patient whose initial clinical examination and ultrasonographic data had led to the diagnosis of acute aortic dissection. Only an emergency surgical procedure was able to confirm the diagnosis, after failure of angiography and CT-scan to do so. In the light of this example, we are presenting a reminder of the sensitivity of various paraclinical examinations, classically accepted to establish this diagnosis.

摘要

我们报告了一例63岁患者的病例,其初步临床检查和超声检查数据导致诊断为急性主动脉夹层。在血管造影和CT扫描未能确诊后,只有紧急外科手术才能确诊。鉴于此例,我们提醒大家注意各种辅助检查的敏感性,传统上认为这些检查可用于确诊此病。

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