以意识障碍为首发症状的无痛性主动脉夹层一例

发表时间：2014-06-23 浏览次数：857次

引用：

尹桂芝，史鲁东，陆益等.以意识障碍为首发症状的无痛性主动脉夹层一例[J].上海交通大学学报（医学版）.2013, 33(3):383-384

关键词：

意识障碍;王动脉夹层;脑梗死

作者：

尹桂芝，史鲁东，陆益，金贤，张大东

作者单位：

上海瑞金医院集团闵行区中心医院心内科,上海,201199

出版年份：

2013

期刊页数：

383-384

收录者：

万方

摘要：

文章报道1例老年男性患者,因“突发意识障碍20h”入院,无胸闷、胸痛和腹痛症状.急诊头颅磁共振成像(MRI)检查提示左侧颞顶叶皮质局灶性亚急性小梗死灶；查体发现左、右上肢血压不对称；胸部增强CT提示为主动脉夹层动脉瘤破裂人心包.因此,对于以脑梗死为主要临床表现的患者一定要重视神经系统以外的体征,以免漏诊,应尽早明确诊断,及时正确治疗. presentakion One old male patient was admitted to the hospital clue to“consciousness disorders for 20 h”with no of chest distress, chesk pain and ahdomina ain. EmergencyMRT demonstrated suhacute focal infarction of left temporal-parietal g}}ri, physical examinations rep0ealed tile.mmetric blood pressure of bilateral upper extremities aortic disseckion was indicaked hp chest enhanced Cf. Therefore. careful analysis of clinical maul介stations and diagnosis are important for treatment of aortic dissection among their with cerebral infarction as main presentation. and early

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