由复杂主动脉夹层引起并表现为截瘫的急性胸主动脉闭塞。

Acute thoracic aortic occlusion resulting from complex aortic dissection and presenting as paraplegia.

作者信息

Krishnamurthy P, Chandrasekaran K, Rodriguez Vega J R, Grunewald K

机构信息

Likoff Cardiovascular Institute, Hahnemann University Hospital, Philadelphia, Pennsylvania 19102.

出版信息

J Thorac Imaging. 1994 Spring;9(2):101-4. doi: 10.1097/00005382-199421000-00009.

DOI:10.1097/00005382-199421000-00009

PMID:8207772

Abstract

Acute paraplegia from an aortic occlusion or dissection is a surgical emergency. Prompt recognition and treatment may mitigate irreversible spinal cord injury. Aortography is commonly used when an aortic lesion is suspected as the cause of acute paraplegia. Transesophageal echocardiography is becoming increasingly used for the evaluation of aorta, diagnosing aortic dissection promptly at the bedside, and was able to define the cause of the spinal cord ischemia.

摘要

由主动脉闭塞或夹层引起的急性截瘫是一种外科急症。迅速识别和治疗可减轻不可逆的脊髓损伤。当怀疑主动脉病变是急性截瘫的病因时，通常会使用主动脉造影。经食管超声心动图越来越多地用于评估主动脉，可在床边迅速诊断主动脉夹层，并能够确定脊髓缺血的原因。