彩色多普勒超声心动图在无痛性急性主动脉夹层诊断中的价值

乔平; 曾和松; 高波; 黄芬; 贺行魏; 刘宛军; 王贝

doi:10.13201/j.issn.1001-1439.2014.04.018

彩色多普勒超声心动图在无痛性急性主动脉夹层诊断中的价值

- 1 华中科技大学同济医学院附属同济医院心内科(武汉, 430030)

详细信息

通讯作者: 曾和松, E-mail:zenghesong@163.com

中图分类号: R543.1

收稿日期: 2013-09-18

修回日期: 2013-12-16

Clinical value of echocardiography in diagnosing painless acute aortic dissection

- Department of Cardiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China

More Information

Corresponding author: ZENG Hesong, E-mail: zenghesong@163.com

Received Date: 18 September 2013

Revised Date: 16 December 2013

摘要

摘要: 目的:分析彩色多普勒超声心动图在无痛性急性主动脉夹层诊断中的价值, 探讨如何提高无痛性急性主动脉夹层患者的诊断率。方法:收集急性无痛性主动脉夹层患者共56例, 回顾性分析在诊治过程中超声心动图的作用。结果:56例患者经超声心动图确诊35例, 其中21例由超声心动图首先发现;超声心动图对Ⅰ型主动脉夹层的确诊率达到93.33%, 对Ⅱ型夹层的确诊率达到87.5%, 对Ⅲ型夹层的确诊率为53.85%, 总的检出率达到71.43%。升主动脉近端宽度诊断急性无痛性主动脉夹层的ROC曲线下面积为0.745, 敏感性为61.5%, 特异性为87.5%。结论:彩色多普勒超声在无痛性主动脉夹层的发现、诊断及判断预后中起了重要的作用。
- 急性主动脉夹层 /
- 超声心动图 /
- 非典型症状
Abstract: Objective:To explore the value of echocardiography for painless acute aortic dissection.Method:A total of 56 patients with painless acute aortic dissection (AAD) admitted to hospital were selected, and analyzed the role of echocardiography for diagnosis painless AAD.Result:Thirty-five patients were diagnosed with echocardiography.The diagnosis rate of typeⅠ painless AAD by echocardiography reached 93.33%, typeⅡ 87.5%, typeⅢ 53.85%.Overall detection rate reached 71.43%.The sensitivity to diagnose painless AAD was 61.5%, and the specificity was 87.5%.Conclusion:Routine echocardiography is very helpful to diagnosis painless AAD. Echocardiography plays an important role in the diagnosis of painless AAD.
- acute aortic dissection /
- echocardiography /
- atypical symptoms

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参考文献(8)

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