Spectrum of conditions initially suggesting acute aortic dissection but with negative aortograms.
Spectrum of conditions initially suggesting acute aortic dissection but with negative aortograms.
复制标题
疾病谱最初提示急性主动脉夹层，但主动脉造影呈阴性。
DOI：
10.1016/0002-9149(86)90912-4
复制
发表时间：
1986
期刊：
影响因子：
--
通讯作者：
DeSanctis,RW
中科院分区：
文献类型：
--
作者：
Eagle,KA;Quertermous,T;Kritzer,GA;Newell,JB;Dinsmore,R;Feldman,L;DeSanctis,RW
在1963年至1983年间，有55名患者就诊于我院，其临床表现提示主动脉夹层，但主动脉破裂被解释为该实体的阴性。在4例患者中，主动脉造影结果随后被证明为假阴性。其余51例患者诊断如下：心肌梗死9例；主动脉反流5例；胸腔非夹层性动脉瘤4例；肌肉骨骼疼痛4分；纵隔肿瘤4例；心包炎3例；急性冠状动脉功能不全3例；胆囊炎2例；3 .杂项；14岁时未知。将这些患者的临床特征与125例真主动脉夹层患者的临床特征进行比较。有三个特征的患者比没有剥离的患者更普遍：既往全身性高血压，疼痛持续24小时或更短，以及迁移性疼痛。无夹层患者比远端夹层患者年轻，全身性高血压、胸后疼痛和迁移性疼痛明显减少。与近端夹层患者相比，未夹层患者充血性心力衰竭、脉搏缺损和主动脉反流发生率明显降低，高血压和疼痛发生率高于近端夹层患者。本研究明确了我院主动脉夹层的实际鉴别诊断、主动脉造影假阴性的出现频率，并对比了有无主动脉夹层患者的临床特征。
Between 1963 and 1983, 55 patients presented to our hospital with a clinical picture that suggested aortic dissection but with aorto rams that were interpreted as negative for that entity. in 4 patients, the aortographic findings subsequently proved to be false negative. The remaining 51 patients had the following diagnoses: myocardial infarction in 9 patients; aortic regurgitation in 5; thoracic nondissecting aneurysm in 4; musculoskeletal pain t 4; mediastinal tumor in 4; pericarditis in 3; acute coronary insufficiency in 3; cholecystitis in 2; miscellaneous in 3; and unknown in 14. The clinical features in these patients were compared with those of 125 patients with true aortic dissection. Three features were significantly more prevalent in patients with than without dissection: prior systemic hypertension, pain for 24 hours or less, and migratory pain. Patients without dissection were younger than those with distal dissection and had significantly less systemic hypertension, posterior thoracic pain and migratory pain. Patients without dissection had signiflcantly less frequent congestive heart failure, pulse deficits and aortic regurgitation, and more frequent hypertension and pain for more than 24 hours than patients with proximal dissection. This study defines the actual differential diagnosis of aortic dissection at our hospital, the frequency of false-negative aortographic findings and contrasts the clinical features of patients with and without dissection.
登录
查看更多内容
胎儿血红蛋白、血液学参数与Xmn i基因多态性关系的研究
DOI：
--
发表时间：
2012
期刊：
影响因子：
--
作者：
Shriya Das
通讯作者：
Shriya Das
沙特儿童镰状细胞病的临床和血液学多样性。
影响因子：
2
作者：
M. El
通讯作者：
M. El
影响纯合镰状细胞病青春期前生长的因素。
影响因子：
5.2
作者：
A. Singhal;J. Morris;P. Thomas;G. Dover;D. Higgs;G. Serjeant;Chetwynd Road;London
通讯作者：
London
胎儿血红蛋白对镰状细胞性贫血患者血管闭塞危象频率的影响。
影响因子：
1.1
作者：
M. Enosolease;OA Ejele;OA Awodu
通讯作者：
OA Awodu
影响因子：
2.9
作者：
Tshilolo L;Summa V;Gregorj C;Kinsiama C;Bazeboso JA;Avvisati G;Labie D
通讯作者：
Labie D