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| Clinical Analysis of 62 Cases of Aortic Dissection |
| The First Hospital Affliated to Chongqing University of Medicine，Chongqing400016，China |
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Abstract Objective：To investigate the clinical character ，diagnosis and treatment of aortic dissection。Method：Clinical data of the pathogeny，inducement， clinical manifestation，accessory examination，diagnosticclassification，treatment methods and effect of 62 patients with aortic dissection were retrospectively analyzed.Result：Stanford type A in 18 cases，Stanford type B in 44 cases.Hypertension was the main high risk factor，the firstsymptom for most of patients was the Chest and back pain.Enhanced spiral CT scans and three dimensional reconstructionof aorta were benefit to diagnose definitely.Among 15 cases proceeded with cardiothoracic surgical treatment，2 cases（13.3%） died and one case（6.7%） happened paraplegia.41 cases were performed endoluminal stent-graft implantation，and 2 cases（4.9%） occurred endoleak，one case（2.4%） died and one case（2.4%） happened paraplegia.4 cases（6.4%） died of before operation，2 cases（3.2%） auto-discharged.By Follow-up the remaining patients ，we foundthat no one appeared the related complications of aortic dissection or operations and owned a good total life quality.Conclusion：Early diagnosis and reasonable treatment in time are the key to improve the prognosis of patients with aorticdissection.
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