House-Fancher M A
AACN Clin Issues. 1995 Nov;6(4):602-13; quiz 683-4. doi: 10.1097/00044067-199511000-00010.
Acute aortic dissection is a life-threatening illness requiring early diagnosis and treatment. Management of this disease incorporates not only emergency department personnel, but also the medical, surgical, and intensive care specialties. If left untreated, the mortality rate of acute aortic disease exceeds 50% within 48 hours and 80% within 2 weeks, with a 5-year survival rate of 19%. The most common cause of death in untreated acute aortic dissection, regardless of etiology, is aortic rupture. In this article, the author reviews: the incidence and pathology; etiology; clinical manifestations; diagnostic workup; patient care management.
急性主动脉夹层是一种危及生命的疾病，需要早期诊断和治疗。这种疾病的管理不仅涉及急诊科人员，还包括医学、外科和重症监护专业。如果不进行治疗，急性主动脉疾病的死亡率在48小时内超过50%，在2周内超过80%，5年生存率为19%。无论病因如何，未经治疗的急性主动脉夹层最常见的死亡原因是主动脉破裂。在本文中，作者回顾了：发病率和病理学；病因；临床表现；诊断检查；患者护理管理。
