主動(dòng)脈弓離斷合并iii型主動(dòng)脈夾層1例-wenkub.com
2025-07-15 04:51 本頁面
【正文】 臨床診斷 Ⅲ 型主動(dòng)脈夾層動(dòng)脈瘤 （ De BaKey 分型） 主動(dòng)脈弓離斷 高血壓病 3級(jí)（極高危組） 轉(zhuǎn) 歸 病人確診為主動(dòng)脈夾層后轉(zhuǎn)至心外科，經(jīng)主動(dòng)脈 CTA進(jìn)一步確診為主動(dòng)脈夾層伴主動(dòng)脈弓離斷，不能行主動(dòng)脈腔內(nèi)覆膜支架置入術(shù)及 人工血管置換術(shù)，給予合理降壓、控制心室率、對(duì)癥后，患者無明顯胸痛，血壓、心率控制良好。 ? 疼痛呈撕裂樣，較為銳利，疼痛開始即達(dá)到頂峰， 有向后背穿透感。（ 5%） Interruption of the ortic ArchClassification Diagnosis ? Clinical features ? Chest X ray ? Echocardiography ? Angiography ? MR ? CTscan Clinical features ? 1. Most of interrupted aortic arch symptoms of sick children at the early stage after birth, there ? congestive heart failure, ? dyspnea, ? oliguria ? acidosis. 2. Signs ? purple to the difference. ? limbs, pulse and blood pressure are not equal. ? heart murmur. ECG ? Right ventricular hypertrophy ? STT wave abnormalities ? QT prolong Chest X ray ? Cardiomegaly ? increased pulmonary vascular markings, and pulmonary venous congestion or pulmonary edema ? Narrow upper mediastinum or increase cardiothymic silhouette: absence of the thymus Echocardiography ? Diagnostic for IAA. ? the ascending aorta follows a straight course to its branches without
教學(xué)教案相關(guān)推薦
鄂ICP備17016276號(hào)-1