摘要主动脉夹层是心血管系统灾难性疾病之一,患者症状各有不同,临床上存在漏诊和误诊现象.鉴于急性主动脉夹层病情凶险、表现莫测,一旦误诊误治后果严重.因此,临床医师应仔细、全面评估就诊患者的各种临床表现,提高对主动脉夹层的认识和警惕性.患者疑诊或确诊为急性主动脉夹层后,及时联系血管外科等专科医师,提高主动脉夹层患者的救治成功率.笔者通过相关文献复习,阐述主动脉夹层在全身不同系统的临床表现,旨在提高广大临床医师对非典型主动脉夹层的认识.

abstractsAortic dissection (AD) is one of the disastrous cardiovascular diseases.Due to the uncertain,varied clinical manifestations of the AD,clinical misdiagnosis or missed diagnosis may occur occasionally.Doctors should carefully and thoroughly evaluate clinical manifestations,and raise awareness and vigilance on acute AD.After suspecting or diagnosing acute AD,specialists of vascular surgery should be contacted as soon as possible so that they could successfully treat patients.By briefly describing the different clinical manifestations of the AD in various human systems,this paper aims to promote the recognition of the atypical AD.