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表现为假性肠梗阻的无痛性主动脉夹层:一例报告。

Painless aortic dissection presenting as pseudo ileus: A case report.

作者信息

Wang Chunhua, Wang Bo, Lv Zanmei, Zhi Jia, Yang Jie, Hao Yuqing

机构信息

Department of Gastroenterology, The 980th Hospital of the People's Liberation Army Joint Service (Bethune International Peace Hospital), Shijiazhuang, Hebei 050082, P.R. China.

Outpatient Department, The Xicheng 4th Rest Center for Retired Cadres of Beijing Garrison Area of the People's Liberation Army, Beijing 100032, P.R. China.

出版信息

Exp Ther Med. 2022 Jun;23(6):415. doi: 10.3892/etm.2022.11342. Epub 2022 Apr 27.

Abstract

Aortic dissection is a serious acute cardiovascular disease with rapid onset, progression and a high mortality rate. Due to the range of different branching vessels involved, the clinical symptoms are complex and diverse. The typical clinical symptom is a severe tearing pain in the chest, back or abdomen, but some patients also have atypical symptoms, which are easily missed or misdiagnosed and can be life-threatening. The present study reports a case of painless type B aortic dissection, initially diagnosed as ileus. The objective of this study is to enhance the clinical understanding of painless aortic dissection so that the disease can be quickly and accurately detected, and treated in a timely manner, thereby improving patient outcomes.

摘要

主动脉夹层是一种严重的急性心血管疾病,起病急、进展快、死亡率高。由于涉及的分支血管范围不同,临床症状复杂多样。典型的临床症状是胸部、背部或腹部剧烈的撕裂样疼痛,但部分患者也有非典型症状,易被漏诊或误诊,可危及生命。本研究报告了1例无痛型B型主动脉夹层病例,最初被诊断为肠梗阻。本研究的目的是增强对无痛性主动脉夹层的临床认识,以便能快速、准确地检测出该疾病,并及时进行治疗,从而改善患者的预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f856/9117947/666c2d263a4d/etm-23-06-11342-g00.jpg

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