Martinez-Romo Miguel Angel, McCoy Christopher Eric
University of California, Irvine, Department of Emergency Medicine, Orange, CA.
J Educ Teach Emerg Med. 2022 Jan 15;7(1):V13-V17. doi: 10.21980/J8V93K. eCollection 2022 Jan.
Acute aortic dissection is a life-threatening event caused by separation of the aortic layers that requires prompt management and surgical consultation. We present the case of a 53-year-old male who developed acute, severe chest pain radiating to his back at a community hospital and was transferred to a tertiary center for definitive surgical management. The patient's aortic dissection was diagnosed via computed tomography angiography. He was started on rate-control and blood pressure medications, and was admitted emergently to the operating room. Emergency physicians should obtain immediate surgical consultation, promptly start medications for rate and blood pressure control, and administer analgesia in order to stabilize their patient and decrease the shear forces that would further propagate an aortic dissection.
Aortic dissection, cardiothoracic surgery, vascular surgery, hypertensive emergency, aorta.
急性主动脉夹层是一种由主动脉各层分离引起的危及生命的事件,需要及时处理并进行外科会诊。我们报告一例53岁男性病例,该患者在社区医院出现急性、严重的胸痛并放射至背部,随后被转至三级中心进行确定性手术治疗。患者的主动脉夹层通过计算机断层扫描血管造影术确诊。他开始接受心率控制和血压药物治疗,并紧急送入手术室。急诊医生应立即进行外科会诊,迅速开始使用控制心率和血压的药物,并给予镇痛治疗,以稳定患者病情并降低会进一步加重主动脉夹层的剪切力。
主动脉夹层、心胸外科、血管外科、高血压急症、主动脉