Analysis of 36 patients with type B aortic intramural hematoma: clinical presentations, treatments and outcomes in a single center / 中国医师杂志
Journal of Chinese Physician
; (12): 319-322, 2014.
Article
Dans Zh
| WPRIM
| ID: wpr-447949
Responsable en Bibliothèque :
WPRO
ABSTRACT
Objective To review the clinical manifestation,diagnosis method,misdiagnosis,risk factors,treatments and prognosis of Stanford B aortic intramural hematoma (IMHB).Methods All of the Stanford B aortic IMHB patients admitted in Wuhan Union hospital from January 2008 to December 2013 were analyzed.The clinical manifestation,diagnosis method,misdiagnosis,managements and prognosis were studied.Furthermore,the effect and long-term survival of different therapies were compared,including medical treatment and endovascular repair.The statistics was performed with SPSS 16.0.Results There were 36 B aortic IMHB patients,and the percent of male patients was 72.22%.The mean age of IMHB was 60.19 ± 11.12.Most patients complained of acute chest and back pain,accompanied with hypertension.Twenty-eight patients (77.78%) received medication therapy,among them,there were 5 patients died of aortic rupture; eight patients (22.22%) received endovascular surgery,one died of cerebral hemorrhage (12.5%).No difference was found between medication therapy and endovascular surgery (17.86% vs 12.5%,P >0.05).Conclusions For simple type B aortic IMHB patients,medication therapy and a dynamic monitoring of full aortic CT angiography was recommended,and for pejorative patients the endovascular treatment should be taken actively.
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Indice:
WPRIM
Type d'étude:
Prognostic_studies
/
Risk_factors_studies
langue:
Zh
Texte intégral:
Journal of Chinese Physician
Année:
2014
Type:
Article