查詢結果分析
相關文獻
- 急性主動脈剝離之診斷及治療
- Comparisons of Clinical Presentations and Hospital Outcome between Type A & Type B Aortic Dissections--Six Years' Experience
- 全科藥物治療學講座--本態性高血壓併發症:主動脈剝離
- Ischemic Infarction Disclose Aortic Dissection--A Case Report
- 高血壓危象新知
- 主動脈剝離
- 主動脈剝離之診斷與治療
- Adrenal Cortical Adenoma Initially Presenting with Acute Aortic Dissection, Hypokalemic Paralysis, and Marked Hypertension
- Aortic Dissection in Pregnancy
- AROTINOLOL治療原發性高血壓的臨床研究
頁籤選單縮合
| 題 名 | 急性主動脈剝離之診斷及治療=Diagnosis and Treatment of Acute Aortic Dissection |
|---|---|
| 作 者 | 詹世鴻; | 書刊名 | 中華民國重症醫學雜誌 |
| 卷 期 | 5:4 2003.12[民92.12] |
| 頁 次 | 頁297-302 |
| 分類號 | 415.383 |
| 關鍵詞 | 主動脈剝離; 高血壓; 主動脈病變; Aortic dissection; Hypertension; Aortic disease; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 急性主動脈剝離是一個不常見但卻具高死亡率的急症。平均每年每百萬人口中,約有5至30個病例產生。高血壓、主動脈病變、年齡、男性、心導管術及冠狀動脈繞道手術較常見之危險因子。最主要的症狀為疼痛,包括胸痛、背痛及腹痛。有時當主動脈剝離侵犯到其他器官時,會有其他症狀產生,例如腦中風、急性腎衰竭或腸道缺血。高度警覺性是醫師面對此類病人時所必須的;經食道心臟超音波、電腦斷層攝影及核磁共振攝影是診斷主動脈剝離強有力之工具。臨床運用上,常依上升主動脈有無剝離來將主動脈剝離病人分類,因為這和治療有關。在所有懷疑是急性主動脈剝離的病人,如果血壓偏高時,都應使用經靜脈使用之降血壓藥物來控制血壓,減少進一步之主動脈剝離。若上升主動脈有剝離之現象,外科手術是必 須的。除此之外,在上升主動脈沒有剝離,但是臨床上發現原本之主動脈剝離有快速變大、血液外滲、持續性疼痛或器官及肢體缺血之現象時,就必須進外科手術。至於主動脈壁內血腫或出血(intramural hematoma or hemorrhage)之處理準則和主動脈剝離相同。 |
| 英文摘要 | Acute aortic dissection is an uncommon disease but with high morality. Its incidence is about 5 to 30 cases per million people per year. Hypertension, intrinsic aortic diseases, age, male gender, coronary artery bypass grafting surgery and coronary catheterization are common risk factors for development of aortic dissection. The most common symptom of aortic dissection is pan; including chest pain, back pain or abdominal pain. Occasionally, symptoms of involvement of other vital organs such as stroke, acute renal failure, or intestinal infarction may occur. High suspicious index is necessary for physicians to diagnose aortic dissection. Trans-esophageal echocardiography (TEE), computerized tomography (CT) and magnetic resonance imaging (MRI) are useful tools for diagnosis. Practically, aortic dissection is classified according to whether involvement of ascending aorta or not. Medical treatment with intravenous anti-hypertensive drugs for bloods pressure control is necessary for any patients with suspected aortic dissection if not contraindicated. Surgery is indicated in patients with proximal dissection; it is also indicated in distal dissection patients with rapid expansion of dissecting aortic aneurysm, bloods leakage, persistent pain an impairment of blood flow to vital organ or limb. The treatment strategy of intramural hematoma/hemorrhage is similar with that of aortic dissection. |
本系統中英文摘要資訊取自各篇刊載內容。