Prevalence of Type A Acute Aortic Dissection in Patients. With Out-Of-Hospital Cardiopulmonary Arrest
Prevalence of Type A Acute Aortic Dissection in Patients. With Out-Of-Hospital Cardiopulmonary Arrest
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DOI：
10.1016/j.amjcard.2016.03.015
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发表时间：
2016-06-01
影响因子：
2.8
通讯作者：
Yamagishi, Masakazu
中科院分区：
文献类型：
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作者：
Tanaka, Yoshihiro;Sakata, Kenji;Yamagishi, Masakazu
最近有报道称，尸检计算机断层扫描 (PMCT) 对于检测急诊科的死亡原因非常有用。在这项研究中，使用 PMCT 调查了院外心肺骤停 (OHCPA) 患者中 A 型急性主动脉夹层 (AAD) 的发生率和死亡原因。对 528 名经历 OHCPA 的连续患者中的 311 名进行了 PMCT 或增强计算机断层扫描。根据临床病程和 CT 检查结果，311 名患者中共有 23 名 (7%) 被诊断为 A 型 AAD。连续 18 名未经历 OHCPA 的患者在同一时期被诊断为 A 型 AAD。 41 名 A 型 AAD 患者中，有 21 名 (51%) 出现院前死亡。经历过 A 型 AAD 的 OHCPA 的患者比未经历过 A 型 AAD 的 OHCPA 的患者更容易观察到血性心包积液（分别为 91% 和 28%；p
Postmortem computed tomography (PMCT) has been recently reported to be useful for detecting causes of death in the emergency department. In this study, the incidence and causes of death of type A acute aortic dissection (AAD) were investigated in patients who experienced out-of-hospital cardiopulmonary arrest (OHCPA) using PMCT. PMCT or enhanced computed tomography was performed in 311 of 528 consecutive patients experiencing OHCPA. A total of 23 (7%) of 311 patients were diagnosed with type A AAD based on clinical courses and CT findings. Eighteen consecutive patients who did not experience OHCPA were diagnosed with type A AAD during the same period. Pre-hospital death was observed in 21 (51%) of 41 patients with type A AAD. Bloody pericardial effusion was observed more frequently in patients who experienced OHCPA with type A AAD than in those who did not experience OHCPA with type A AAD (91% vs 28%, respectively; p