| 朱晓丽,王峥,陈曦,郑敏娟.超声心动图诊断急性主动脉壁内血肿[J].中国医学影像技术,2013,29(7):1103~1106 |
| 超声心动图诊断急性主动脉壁内血肿 |
| Echocardiography in diagnosis of acute aortic intramural hematoma |
| 投稿时间：2012-12-23 修订日期：2013-05-14 |
| DOI： |
| 中文关键词: 主动脉壁内血肿 超声心动描记术 血管造影术 |
| 英文关键词:Aortic intramural hematoma Echocardiography Angiography |
| 基金项目:陕西省课题基金(2011K12-22)。 |
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| 中文摘要: |
| 目的 探讨超声心动图诊断急性主动脉壁内血肿(AIH)的临床价值。方法 回顾性分析以胸背部突发性疼痛急诊入院、经手术和(或)CTA诊断为AIH的20例患者的超声心动图表现,并与CTA或手术结果进行对比。结果 20例中,10例超声诊断为AIH,4例诊断为主动脉夹层(AD)并假腔内血栓形成,5例诊断为AD,1例诊断为阴性。超声心动图显示受累的主动脉管壁不同程度增厚,厚度 5~20 mm,断面呈环形或新月形,未探及明显的内膜回声中断;CDFI示病变管腔与血肿间无明显血流交通。结论 超声心动图是急诊筛查AIH的有效方法,可及时为临床提供准确信息,指导治疗。 |
| 英文摘要: |
| Objective To explore the value of echocardiography in diagnosis of acute aortic intramural hematoma (AIH). Methods Twenty patients with acute chest and back pain confirmed as acute AIH by CTA and (or) surgery were enrolled,and the echocardiography data of them were retrospectively analyzed and compared with CTA or surgery results. Results Among 20 cases, 10 were diagnosed as AIH, 4 were diagnosed as aortic dissection (AD) with false lumen thrombus, 5 were diagnosed as AD with echocardiography. There was 1 case of false negative echocardiography. Regional or general aortic wall thickness were shown (5-20 mm), and half moon or ring-shaped aortic wall thickness were observed in transverse views without obvious intima dissection or rupture. No color Doppler flow signal was found between true and false lumen. Conclusion Echocardiography is a feasible method in emergency screening of acute AIH, which could provide accurate information and guidance for clinical treatment. |
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