急性B型主动脉夹层1例

Acute type B aortic dissection: a case report

摘要

本文报道1例急性B型主动脉夹层病例。患者为中年男性，因“反复胸痛6 d”为主诉入院，入院时血压明显升高，伴有间歇性胸背部疼痛，入院后查D-二聚体明显升高，进一步完善主动脉CT血管成像（CTA）明确B型主动脉夹层。予以降压、控制心率及镇静镇痛治疗后症状改善，并行胸主动脉腔内修复术。

Abstract

This paper reports a case of acute type B aortic dissection in a middle-aged male who admitted to the hospital with a chief complaint of "recurrent chest pain for 6 days". On admission, blood pressure was significantly elevated, accompanied by intermittent chest and back pain. Laboratory examination revealed markedly elevated D-dimer levels. Further aortic CT angiography (CTA) confirmed type B aortic dissection. After treatment with antihypertensive therapy, heart rate control, sedation, and analgesia, the symptoms improved, and the patient underwent thoracic endovascular aortic repair.

关键词

B型主动脉夹层 / 高血压 / 胸主动脉腔内修复术

Key words

type B aortic dissection / hypertension / thoracic endovascular aortic repair

参考文献

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[2] 中华医学会外科学分会血管外科学组 . Stanford B型主动脉夹层诊断和治疗中国专家共识(2022版)[J]. 中国实用外科杂志, 2022, 42(4): 370-378.

[3] 侯钦茂, 冯家烜, 张荣杰, 等 . Stanford B型主动脉夹层腔内介入治疗时机对预后的影响[J]. 介入放射学杂志, 2018, 27(4): 310-313.