Prendes J L
Am Fam Physician. 1981 Jun;23(6):175-9.
Dissecting aneurysm is the most common acute disease of the aorta. Men are more likely than women to develop aortic dissection. One-third of the cases show neurologic manifestations, which may be a clue to early diagnosis. Cerebral, spinal cord and peripheral nerve ischemia can occur. In general, the treatment of choice for dissection originating in the ascending aorta is prompt surgical intervention. Medical therapy to lower elevated blood pressure and to reduce the force of myocardial contractility is sufficient for dissection of the descending aorta.
夹层动脉瘤是最常见的主动脉急性疾病。男性比女性更易发生主动脉夹层。三分之一的病例有神经学表现，这可能是早期诊断的线索。可发生脑、脊髓和周围神经缺血。一般来说，升主动脉夹层的首选治疗方法是迅速进行手术干预。对于降主动脉夹层，降低血压和减弱心肌收缩力的药物治疗就足够了。
