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[急性主动脉综合征的诊断与管理]

[Diagnostic and management of acute aortic syndrome].

作者信息

Pérez-Camargo Daniel, Van-Hemelrijck Mathias, Sromicki Juri, Mestres Carlos

机构信息

Hospital Universitario de Zúrich, Departamento de Cirugía Cardiaca. Zúrich, Suiza.

出版信息

Rev Med Inst Mex Seguro Soc. 2022 Mar 1;60(2):188-200.

Abstract

Acute aortic syndrome includes a group of serious aortic pathologies, with a mortality rate of up to 90% in the first 40 days after the onset of symptoms. Depending on the location of the lesion, the treatment will be medical or surgical which has been shown to improve the prognosis of these patients both in the short- and long-term. Timey diagnosis is essential to increase survival and decrease the rate of related complications; however, due to the low incidence and sometimes non-specific clinical picture, the diagnosis can be delayed or missed, leading to catastrophic consequences for the patients. This article will focus on the diagnostic approach of type A acute aortic syndrome, in addition to offering a brief review regarding the medical and surgical treatment of these pathologies.

摘要

急性主动脉综合征包括一组严重的主动脉病变,症状出现后的前40天内死亡率高达90%。根据病变部位,治疗方法分为药物治疗或手术治疗,已证明这两种方法均可在短期和长期内改善这些患者的预后。及时诊断对于提高生存率和降低相关并发症发生率至关重要;然而,由于发病率低且有时临床表现不具特异性,诊断可能会延迟或漏诊,给患者带来灾难性后果。本文将重点关注A型急性主动脉综合征的诊断方法,此外还将简要回顾这些病变的药物和手术治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/003f/10395884/e1cd5b28fd80/04435117-60-2-188-g001.jpg

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