Analysis of the clinical characteristics of 36 cases of acute aortic dissection

Objective To evaluate the clinical characteristics of acute aortic dissection(AAD).Methods The clinical features of 36 cases of AAD were collected including age,gender,clinical manifestation,laboratory and auxiliary examination,therapeutics and prognosis.Results There were 22male cases,and 14 female cases,age 43-73 years old.All cases had different degree ache,and some cases accompanied with syncope,palpitation,hemoptysis,hydrothorax,meso-superior belly pulsate lump and vascular murmur,elevated blood pressure.Some cases appeared elevated leukocytes,ischemic electrocardiogram,broadened aorta,real and pseudocoele.All cases were given decompression,appeasement,analgesia and so on.Thirteen cases discharged from hospital after stabilized pathogenetic condition;13 cases transfered upto higher level hospital,and 2 cases died,9 cases were given endovascular stent,2cases were given surgery;9 cases died within 12-24 h after final diagnosis; 1 case abandoned therapy.Conclusions The thoracalgia is the main clinical manifestation of AAD,and diagnosis may be determined if auxiliary examination detects aorta real and pseudocoele.Physician should improve the realization of AAD,to reach early diagnosis and treatment,to decrease the rate of clinical misdiagnosis and death from illness. Key words: Acute aortic dissection; Clinical character; Hydrothorax