Garrett B N, Ram C V
Cardiol Clin. 1984 May;2(2):227-38.
Acute aortic dissection is the most lethal complication affecting the aorta. The use of two-dimensional echocardiography and computed tomography has greatly expanded the physician's ability to establish this diagnosis through noninvasive techniques. Surgery is the definitive treatment for type I and II dissection, whereas medical management with drugs that reduce cardiac output remains the treatment of choice in type III dissection. With improvements in surgical techniques, including cardiopulmonary bypass and composite grafting, immediate and long-term morbidity and mortality have been significantly reduced.
急性主动脉夹层是影响主动脉的最致命并发症。二维超声心动图和计算机断层扫描的应用极大地扩展了医生通过非侵入性技术进行这一诊断的能力。手术是I型和II型夹层的确定性治疗方法，而使用降低心输出量的药物进行药物治疗仍是III型夹层的首选治疗方法。随着包括体外循环和复合移植在内的手术技术的改进，近期和远期的发病率和死亡率已显著降低。
