The clinical analysis of 18 cases of atypical aortic dissection
WANG Tao
CAO Tao
WANG Chunyuan
Abstract：Objective To investigate the clinical features of atypical aortic dissection and to reduce misdiagnosis and missed diagnosis.Methods Retrospective analyzed of 18 cases of atypical aortic dissection from January 2010 to March 2017 at the emergency internal medicine of Xuanwu Hospital of Capital Medical University.The clinical manifestations and diagnosis and treatment were analyzed.Results There were 18 patients,16 males and 2 females,aged(52.2±10.2)years.17 cases were diagnosed by CT angiography in emergency department.In 16 patients had hypertension(88.9％),atypical symptoms of chest symptoms(6 cases),abdominal symptoms(5 cases),neurological symptoms(4 cases),respiratory symptoms(2 cases)and dysphagia(1 case).After surgery,4 cases were cured,5 cases were received conservative treatment,3 cases died,1 cases were sudden death,8 cases were transferred to other hospital.Conclusion The clinical manifestations of aortic dissection are diverse,and many patients have atypical symptoms.Emergency physicians should be vigilant to avoid misdiagnosis and missed diagnosis.
Keywords：Aortic dissectionatypicalDiagnosis
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 835-837 )