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題名 | Acute Aortic Dissection Presenting as Acute Arterial Occlusion of the Lower Extremities: Two Cases Report=以急性下肢動脈阻塞表現之急性主動脈剝離:兩病例報告 |
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作者姓名(中文) | 林俊農; 林增記; 郭美娟; 林靖國; 蔡米山; | 書刊名 | 中華民國急診醫學會醫誌 |
卷期 | 4:1 2002.03[民91.03] |
頁次 | 頁14-19 |
分類號 | 416.263 |
關鍵詞 | 急性主動脈剝離; 急性動脈阻塞; 下肢缺血; Acute aortic dissection; Acute arterial occlusion; Lower extremity ischemia; |
語文 | 英文(English) |
中文摘要 | 急性主動脈剝離為死已率相當高的病患,因多樣化的臨床表,使診斷有其困難度。我們報告以急性下肢動脈阻塞表現之急性主體脈剝離的患者,沒有典型胸痛而延遲診斷死亡的兩個病例。 |
英文摘要 | Acute aortic dissection is the most commonly seen fatal disease involving aorta. If this disease is not recognized quickly, the mortality rate is high. Protean manifestations of aortic dissection could mislead physicians and prevent a correct diagnosis. Acute lower extremity ischemia may be presented as the main manifestation of aortic dissection. However, it is frequently ignored in the differential diagnosis. We report two cases of acute aortic dissection presenting as arterial occlusion of lower extremities, without the typical symptoms of chest pain. Delayed diagnosis occurred in both of these cases, and both patients died soon after the correct diagnosis. |
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