{"type5":[],"type4":[{"id":"12177","isDel":0,"createAt":1517635553694,"createBy":"db869ccaaef711e7a3d800163e04584d","createName":"海绵宝宝","updateAt":0,"updateBy":null,"updateName":null,"userId":"db869ccaaef711e7a3d800163e04584d","title":"主动脉夹层患者吃什么比较好  听听专家的建议","content":"<p style=\"margin-right:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">在我们的日常生活当中，有的时候身体一旦出现问题我们就会盲目的去选择一些药物治疗，其实身体出现问题的时候我们不仅选要选择药物治疗也要调整好日常的饮食习惯，下面一起看一下</span><strong><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">主动脉夹层吃什么比较好</span></strong><span style=\";font-family:宋体;line-height:200%;font-size:16px\">。</span></p><p style=\"margin-right:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><br/></span></p><p style=\"margin-right: 0px; text-indent: 32px; text-align: center; line-height: 200%;\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><img src=\"http://01luntan.com/ly_img/uimgs/1517636368467.jpg\" title=\"主动脉夹层患者吃什么比较好  听听专家的建议\" alt=\"主动脉夹层患者吃什么比较好  听听专家的建议\" width=\"600\" height=\"372\"/></span></p><p style=\"margin-right:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">a</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">、多喝水，多吃水果、蔬莱</span> <span style=\"font-family:宋体\">患者应多摄取水分，并避免咖啡、汽水、香烟等刺激物。多吃水果、蔬菜、核果、种子、谷类等有益的食物。</span></span></p><p style=\"margin-right:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">b</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">、多吃燕麦</span> <span style=\"font-family:宋体\">经常食用燕麦町改善神经的总体状况。切碎的燕麦草在温水中冲泡</span>2分钟并过滤后就是一种补品，一天喝1-4克，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">如果</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">要减轻皮肤瘙痒，用细棉布包燕麦片挂在喷头下，用冲过燕麦片的水洗澡。</span></p><p style=\"margin-right:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">c</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">、药草茶</span> <span style=\"font-family:宋体\">一杯沸水冲人</span>2茶匙贯叶连翘，并浸泡10分钟可用于止痛，一天应喝3次，近期试验提示黑升麻的提取物有抗炎</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;color: rgb(46, 46, 46);letter-spacing: 0;font-size: 16px\">找良医网温馨提示：如有身体不适，请及时就医！</span></p><p><br/></p>","barId":"2448","topicTypeId":"3","topicThemeId":"1035","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1291,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1517635553695,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1517635553695,"metaSearch":null,"rn":null},{"id":"11533","isDel":0,"createAt":1516593271939,"createBy":"8b39c578b53311e7a3d800163e04584d","createName":"梅油油","updateAt":0,"updateBy":null,"updateName":null,"userId":"8b39c578b53311e7a3d800163e04584d","title":"主动脉夹层患者吃什么——专家这里有妙招  ","content":"<p style=\"text-indent:32px;line-height:200%\"></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">主动脉夹层常常让患者的平时生活中和在健康带上来了麻烦且严重的威胁，什么疾病都有它必要的饮食禁忌，对饮食上的关注可以让疾病的治疗和康复达到事半功倍的功效。以下是找良医网为大家推荐一下<strong>主动脉夹层吃什么</strong></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">的</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">注意事项，希望能帮到你。</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"text-indent: 32px; line-height: 200%; text-align: center;\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><img src=\"http://01luntan.com/ly_img/uimgs/1516593996512.jpg\" title=\"主动脉夹层患者吃什么——专家这里有妙招  \" alt=\"主动脉夹层患者吃什么——专家这里有妙招  \" width=\"600\" height=\"372\"/></span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><br/></span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">1、多喝水，喝水是生命体通过口腔摄入水分的方式，人体每天通过口腔摄入的液体大约有2升。水主要在胃部吸收，进入人体后，水分主要用于补充细胞内液和细胞外液，参与人体各种生理活动，因此，喝水是维持生命体新陈代谢的重要一环。　　</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\"font-family:宋体;font-size:16px\">2、</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">多吃燕麦，经常食用燕麦</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">可改善</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">神经的总体状况。切改善免疫系统。燕麦中丰富的</span>β葡聚糖能改善免疫系统，有效抗击病毒、细菌和寄生虫，从而提高人体免疫力。</span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">3、药草茶，一杯</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">滚烫的水</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">冲</span>2茶匙贯叶连翘，并</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">泡上个</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">10分钟可用于止痛，一天应喝3次，近期试验提示黑升麻的提取物有抗炎。</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">4、选择容易消化的</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">流食</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">比</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">如菜汤、稀粥、蛋汤、蛋羹、牛奶等。　　</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">5、饮食宜清淡少油腻，既</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">有</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">营养</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">上</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">的</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">需求</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">，又</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">可以增加</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">食欲。可</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">提供</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">白米粥、小米粥、小豆粥、配合甜酱菜、大头菜、榨菜或豆腐乳等小菜，以清淡、爽口为宜。</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">6、多食含维生素C、E及红色的食物，如西红柿、苹果、葡萄、枣、草莓</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">、</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">刺梨、猕猴桃、沙棘、西印度樱桃、酸枣等。　　</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">7、饮食宜少量多餐，如</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">发烧退了时，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">食欲</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">变得好之后</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">，可</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">改善为</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">半流质饮食，如面片汤、清鸡汤龙须面、小馄饨、菜泥粥，肉松粥、肝泥粥、蛋花粥。</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">主动脉夹层</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">的一些病患</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">机体被病毒感染</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">严重</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">时，为了抵抗病原体的毒素，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">人类的体内</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">各种代谢都</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">会增进</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">并且使</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">能量</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">大大</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">消耗，尽管胃口</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">会降低</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">，消化功能</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">不好</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">，体重下降，但为了补充能量，必须保持足够的饮食摄取量，坚持一日三餐，按时进食，</span> <span style=\"font-family:宋体\">不能少吃一餐。</span></span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">最后，找良医网祝您身体健康！</span></p><p><br/></p>","barId":"2448","topicTypeId":"3","topicThemeId":"1035","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1182,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1516593271941,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1516593271941,"metaSearch":null,"rn":null},{"id":"11530","isDel":0,"createAt":1516592652759,"createBy":"8b39c578b53311e7a3d800163e04584d","createName":"梅油油","updateAt":0,"updateBy":null,"updateName":null,"userId":"8b39c578b53311e7a3d800163e04584d","title":"专家带你来看主动脉夹层吃什么比较好","content":"<p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">在我们的日常生活当中，有的时候身体一旦出现问题我们就会盲目的去选择一些药物治疗，其实身体出现问题的时候我们不仅选要选择药物治疗也要调整好日常的饮食习惯，下面一起看一下主动脉<strong>夹层</strong>吃什么比较好。</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></p><p style=\"text-indent: 32px; line-height: 200%; text-align: center;\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><img src=\"http://01luntan.com/ly_img/uimgs/1516592875475.jpg\" title=\"专家带你来看主动脉夹层吃什么比较好\" alt=\"专家带你来看主动脉夹层吃什么比较好\" width=\"600\" height=\"372\"/></span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><br/></span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">主动脉<strong>夹层</strong>在饮食上该注意</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">什么以下有介绍</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">：</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">1、多吃新鲜蔬菜水果，菜含有丰富的维生素，其中以维生素C和维生素A最为重要，不过维生素C在烹煮时会大量流失，蔬菜颜色越深绿或深黄，含有的维生素A和维生素C就越多。另外，有一些蔬菜含有丰富的钾、钙、钠、铁质等碱性矿物质，不仅能平稳血液中的酸碱值，也是小朋友生长需要的营养素重要来源。</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">2、应控制食盐的摄入量，食盐是生活中不可或缺的调味品，但是食盐的摄入量过多对身体的伤害也很大。易患感冒、加速骨钙流失、致使血压升高、促进动脉硬化以及致胃癌等都是食用高盐食品的危害。世界卫生组织称一般人群每日食盐的摄入量为6-8克。</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">3、油脂的摄入量也</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">是要受到</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">控制，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">千万不可</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">多吃。油脂</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">也可</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">包括动、植物油。植物油富含不饱和脂肪酸。</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">4、</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">病患</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">还</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">需</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">养成良好的生活、饮食</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">上的</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">习惯，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">要改掉</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">以往的不良饮食和生活习惯，不要刻意节食。</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\"font-family:宋体;font-size:16px\">5、</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">肉食也不可多吃，应适量食用。老人儿童吃太多牛肉影响消化。牛肉的氨基酸组成比猪肉更接近人体需要，能提高机体抗病能力，但牛肉有很高的胆固醇和脂肪，肌肉纤维也较粗糙，所以老人、儿童及消化力弱的人不宜多吃。</span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">6、中医药护理，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">病患服用可以</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">提高免疫力的单方含量</span>16%以上的人参皂苷Rh2(护命素)，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">可以让病情得到控制</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">，防止恶化的作用。</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">上述介绍的就是找良医网为大家介绍的</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">主动脉夹层吃什么比较好</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">的内容，希望大家发现病情时要尽早到正规医院进行治疗。祝大家身体健康！</span></p><p><br/></p>","barId":"2448","topicTypeId":"3","topicThemeId":"1035","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1255,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1516592652761,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1516592652761,"metaSearch":null,"rn":null},{"id":"11526","isDel":0,"createAt":1516591784865,"createBy":"8b39c578b53311e7a3d800163e04584d","createName":"梅油油","updateAt":1516591837183,"updateBy":"8b39c578b53311e7a3d800163e04584d","updateName":"梅油油","userId":"8b39c578b53311e7a3d800163e04584d","title":"专家为您推荐主动脉夹层饮食方面的选择","content":"<p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp; &nbsp; &nbsp;&nbsp;</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">主动脉夹层是指由于内膜局部撕裂，受到强有力的血液冲击，内膜逐步剥离、扩展，在动脉内形成真、假两腔。从而导致一些列包括撕裂样疼痛的表现。主动脉是身体的主干血管，承受直接来自心脏跳动的压力，血流量巨大，出现内膜层撕裂，如果不进行恰当和及时的治疗，破裂的机会非常大，死亡率也非常高。</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">主动脉夹层除了药物以及手术治疗之外，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">平常</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">还</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">是要注重</span><strong><span style=\";font-family:宋体;line-height:200%;font-size:16px\">主动脉夹层饮食</span></strong><span style=\";font-family:宋体;line-height:200%;font-size:16px\">。这对疾病的控制和恢复起着</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">重要</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">的效果。为了</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">便于</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">大家对于<strong>主动脉夹层的饮食</strong>有所了解，下面</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">找良医网</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">为大家做下详细的介绍。</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></p><p style=\"text-indent: 32px; line-height: 200%; text-align: center;\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><img src=\"http://01luntan.com/ly_img/uimgs/1516592621809.jpg\" title=\"专家为您推荐主动脉夹层饮食方面的选择\" alt=\"专家为您推荐主动脉夹层饮食方面的选择\" width=\"600\" height=\"372\"/></span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">1、</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">记住</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">多喝水，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">要多吃水果</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">、蔬莱：患者应多</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">摄取</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">水分，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">且要避免</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">咖啡、汽水、香烟等</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">刺激类的食物</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">。多吃</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">一些</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">水果、蔬菜、核果、种子、谷类等</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">对身体有益</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">的食物。</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;2、多吃燕麦：燕麦就是我国的莜麦，俗称油麦、玉麦，是一种低糖、高营养、高能食品。其招牌营养素不但含量高，而且质量优，是较受现代人欢迎的食物之一。在《时代》杂志评出的十大健康食品中，燕麦名列第五。燕麦经过精细加工制成麦片，使其食用更加方便，口感也得到改善，成为深受欢迎的保健食品。</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">3、药草茶：一杯沸水冲人2茶匙贯叶连翘，并浸泡10分钟可用于止痛，一天应喝3次。</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">找良医网温馨提示：得了主动脉夹层不要怕，首先要做的是调整心态，这是最重要的一步。心态对了，事半功倍。在日常生活中，多选用上面列举的这几样食物，也会对病情很有帮助。最后祝愿大家身体安康，阖家欢乐。</span></p><p><br/></p>","barId":"2448","topicTypeId":"3","topicThemeId":"1035","readLevel":1,"files":"[]","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1154,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1516591784867,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1516591784867,"metaSearch":null,"rn":null},{"id":"6063","isDel":0,"createAt":1508468140675,"createBy":"8abb11d0af1511e7a3d800163e04584d","createName":"良药苦口","updateAt":1522553580503,"updateBy":"8abb11d0af1511e7a3d800163e04584d","updateName":"良药苦口","userId":"8abb11d0af1511e7a3d800163e04584d","title":"主动脉夹层吃什么好？同时又不能吃什么呢？","content":"<p style=\"text-align: justify; line-height: 200%; text-indent: 32px; -ms-text-autospace: ideograph-numeric; -ms-text-justify: inter-ideograph;\"><span style=\"line-height: 200%; font-family: 宋体; font-size: 16px;\"><span style=\"font-family: 宋体;\"></span></span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">听到有很多患者问，我是主动脉夹层，该吃什么好呢？在本文中，找良医网向您详细介绍就是</span><strong><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">主动脉夹层的饮食保健</span></strong><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">，主动脉夹层的食疗方。得了主动脉夹层吃什么好，同时又不能吃什么呢？一起来了解一下：</span></p><p style=\"text-align: center; line-height: 200%; text-indent: 32px;\"><img width=\"600\" height=\"372\" title=\"主动脉夹层吃什么好？同时又不能吃什么呢？\" alt=\"主动脉夹层吃什么好？同时又不能吃什么呢？\" src=\"http://01luntan.com/ly_img/uimgs/1508468346114.jpg\"/></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">饮食适宜：</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">1、宜吃高热量的食物；</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">2、宜吃高维生素C的食物；</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">3、宜吃高维生素K的食物。</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">鸭肝：蛋白质含量丰富，且有丰富的维生素</span>K源，有利于改善凝血功能。方法：200g清蒸食用。 &nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">鸡肝：动物肝脏，维生素</span>K源比较丰富，且具有修复血管组织的作用。方法：200g清蒸食用。 &nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">鸡腿菇：营养价值高，蛋白质高，可促进机体的功能恢复以及增加机体的抵抗力。方法：</span>150g与青菜同炒食用。</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">饮食禁忌：</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">1、绝对紧急饮酒；</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">2、忌吃含有刺激性的食物。</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">槟榔：具有一定的醉酒特性，无酒精，但可造成血流加速，加重动脉夹层。可换吃新鲜水果。</span> &nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">酒精饮料：酒精含量高，可刺激血管改善血液循环，促进动脉夹层。可换吃无酒精性的食物。</span> &nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">主动脉夹层饮食保健</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">1、多喝水，多吃水果、蔬莱 患者应多摄取水分，并避免咖啡、汽水、香烟等刺激物。多吃水果、蔬菜、核果、种子、谷类等有益的食物。</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">2、多吃燕麦 经常食用燕麦町改善神经的总体状况。切碎的燕麦草在温水中冲泡2分钟并过滤后就是一种补品，一天喝1-4克，若要减轻皮肤瘙痒，用细棉布包燕麦片挂在喷头下，用冲过燕麦片的水洗澡。</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">3、药草茶 一杯沸水冲人2茶匙贯叶连翘，并浸泡10分钟可用于止痛，一天应喝3次，近期试验提示黑升麻的提取物有抗炎效果。</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">找良医网温馨提示：如有身体不适，请及时就医！</span></p>","barId":"2448","topicTypeId":"3","topicThemeId":"1035","readLevel":1,"files":"[]","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1172,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1508468140677,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1508468140677,"metaSearch":null,"rn":null}],"type3":[{"id":"9799","isDel":0,"createAt":1514178811881,"createBy":"db869ccaaef711e7a3d800163e04584d","createName":"海绵宝宝","updateAt":0,"updateBy":null,"updateName":null,"userId":"db869ccaaef711e7a3d800163e04584d","title":"胸主动脉夹层动脉瘤应该注意些什么","content":"<p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><strong><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\"><br/></span></strong></p><p style=\"margin-right: 0px; margin-left: 0px; text-indent: 32px; text-align: center; line-height: 200%;\"><strong><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\"><img src=\"http://01luntan.com/ly_img/uimgs/1514179507691.jpg\" title=\"胸主动脉夹层动脉瘤应该注意些什么\" alt=\"胸主动脉夹层动脉瘤应该注意些什么\" width=\"600\" height=\"372\"/></span></strong></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><strong><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">胸</span></strong><strong><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">主动脉夹层</span></strong><span style=\";font-family:宋体;line-height:200%;font-size:16px\">属于危急重症疾病，应立刻住院控制血压，并行急诊外科手术或人工支架血管腔内隔绝术治疗，术后的病人，因为多日禁食，胃肠道功能处于恢复期，在术后早期能进食的时候，先以温水、稀饭、面条等流食慢慢促进胃肠道功能恢复，肚子饿了可以吃馒头等容易消化的食物，还可以适当吃一些水果，如香蕉，可以促进排便。</span></p><p><br/></p>","barId":"2448","topicTypeId":"2","topicThemeId":"1032","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1028,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1514178811885,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1514178811885,"metaSearch":null,"rn":null},{"id":"9798","isDel":0,"createAt":1514177674940,"createBy":"db869ccaaef711e7a3d800163e04584d","createName":"海绵宝宝","updateAt":0,"updateBy":null,"updateName":null,"userId":"db869ccaaef711e7a3d800163e04584d","title":"老年主动脉夹层分离治疗前的注意事项","content":"<p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><br/></p><p style=\"margin-right: 0px; margin-left: 0px; text-indent: 32px; text-align: center; line-height: 200%;\"><img src=\"http://01luntan.com/ly_img/uimgs/1514177959178.jpg\" title=\"老年主动脉夹层分离治疗前的注意事项\" alt=\"老年主动脉夹层分离治疗前的注意事项\" width=\"600\" height=\"372\"/></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family:宋体;font-size:16px\">(一)&nbsp;</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">治疗</span></p><p style=\"margin-right:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">早期治疗是本病治疗的关键，目的在于稳定病情，为进一步治疗创造条件。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family:宋体;font-size:16px\">1.&nbsp;</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">一般治疗</span> <span style=\"font-family:宋体\">本期治疗应从急诊室或救护车开始，并尽快将病人送入危重病监护房</span>(ICU)内密切观察血压、心率和尿量，使生命体征尽快稳定。血流动力学包括周围动脉压、肺动脉压、肺动脉嵌楔压和心排血量等指标的监测，有利于观察药物的治疗反应和调整用量。病人应绝对卧床休息，镇静和止痛十分重要，有助于减少血压的波动。可选择对心血管不良反应较少的镇静药，如地西泮、氟哌啶醇等。对部分病人，由于夹层血肿仍在扩展，即使应用鸦片类制剂，也难以减轻剧烈的疼痛，因此不宜单纯依赖镇静剂和止痛药物去控制疼痛，需同时开始应用阻止夹层血肿扩展的药物。所用的药物均应采用静脉或肌内注射的途径，以便尽快发挥药效。部分病人在数小时后将接受外科手术治疗，也不宜口服给药。</span></p><p style=\"margin-right:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family:宋体;font-size:16px\">2.&nbsp;</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">阻止夹层血肿扩大的治疗</span> <span style=\"font-family:宋体\">能否阻止夹层血肿的扩大和主动脉壁剥离的扩展，是早期治疗成败的关键。如果治疗成功，可防止或减少并发症，使后期手术治疗或内科治疗的病死率降低。降低血压和左心室收缩力，可使夹层剥离停止。这时，宜将收缩压降至</span>13.3～16kPa(100～120mmHg)并注意保持血压的稳定。血压和心输出量可降到能保证心、脑、肾等生命重要器官血液灌注即可。尿量应维持在20ml/h以上。治疗药物主要有β-受体阻滞药、硝普钠、樟磺咪芬(三甲噻酚)、甲基多巴、钙拮抗剂等。</span></p><p style=\"margin-right:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family:宋体;font-size:16px\">3.&nbsp;</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">外科治疗。</span></p><p style=\"margin-right:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family:宋体;font-size:16px\">(二)&nbsp;</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">预后</span></p><p style=\"margin-right:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">本病预后很差，据一组尸解资料，未经治疗的急性病人，</span>21％在发病后24h内死亡，74％死于2周内。1年存活率仅10％左右。早期诊断和合理治疗是降低病死率的关键。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">无论采用何种治疗方式，慢性病人的预后都明显优于急性病例。因为慢性病人已度过死亡的高危期，出现并发症的可能性远比急性期小。在慢性病人内膜破口可能已愈合，或者夹层血肿已自行破入主动脉管腔内，使假腔内血液流回主动脉，阻止了夹层血肿的继续扩大。根据国外一组长期随访观察资料，经过积极的内、外科治疗，目前，</span>1年存活率可达60％，10年存活率近40％。对住院期间抢救治疗成功的病例，出院后1年存活率在90％以上，10年存活率达55％。但住院病死率仍高达30％左右。远期存活率与夹层血肿的部位和范围及住院期间的治疗方式有关。因此，为进一步提高疗效，需努力降低急性期病死率。在内科治疗方面，应提高早期诊断和治疗水平，降低早期病死率，减少并发症，缩短稳定病情所需时间，为更多的病人创造接受手术治疗的机会。</span></p><p><br/></p>","barId":"2448","topicTypeId":"2","topicThemeId":"1032","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1109,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1514177674944,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1514177674944,"metaSearch":null,"rn":null},{"id":"9217","isDel":0,"createAt":1513149938693,"createBy":"db869ccaaef711e7a3d800163e04584d","createName":"海绵宝宝","updateAt":0,"updateBy":null,"updateName":null,"userId":"db869ccaaef711e7a3d800163e04584d","title":"老年人应做腹主动脉检查","content":"<p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><br/></p><p style=\"margin-right: 0px; margin-left: 0px; text-indent: 32px; text-align: center; line-height: 200%;\"><img src=\"http://01luntan.com/ly_img/uimgs/1513150206163.jpg\" title=\"老年人应做腹主动脉检查\" alt=\"老年人应做腹主动脉检查\" width=\"600\" height=\"372\"/></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">很多老年人每年都到医院进行</span>1～2次健康体检，但往往只作心、肝、肺、肾及血糖、血脂等检查，而不知道还应该作腹主动脉检查。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">腹主动脉是人体的大动脉，直接延续于发自左心室的主动脉、胸主动脉，沿脊柱左侧下行，主要负责腹腔脏器和腹壁的血液供应。老年人由于动脉粥样硬化，或创伤、感染、结核、先天发育不良等原因，可导致腹主动脉壁薄弱，局部向外凸出形成腹主动脉瘤，尤以老年男性多见。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">罹患腹主动脉瘤后，多数人无任何症状。消瘦者可自己发现腹部有搏动性肿物，少数病人有脐周或中上腹部、腰背部疼痛。由于动脉血流压力高，当腹主动脉瘤发展到一定程度时，可突然发生破裂，引起难以控制的大出血而致病人死亡。该病是</span>65岁以上老年人的猝死原因之一。在我国，随着人口老龄化和检测手段的增多，腹主动脉瘤发病率有增高的趋势。</span></p><p style=\"margin-right:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">B超作为一种简便、无创、价廉的检查方法，可清楚地显示98％以上的人肾以下的腹主动脉。20世纪90年代，欧美等国家已大规模运用B超作为腹主动脉瘤的早期普查、筛查方法。有疑问时，再作CT、核磁共振、腹主动脉造影等检查确诊。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">腹主动脉瘤破裂的瘤体直径平均为</span>8厘米，4.5％小于5厘米。故腹主动脉瘤直径在3.0～3.5厘米的患者，应每3年进行一次B超检查；腹主动脉瘤直径在3.5～4.0厘米的患者，应每2年作一次B超检查；瘤体直径超过4厘米者，应每年作一次B超检查。国外用B超进行早期普查后，使腹主动脉瘤破裂的发生率降低了55％，死亡率降低了42％。</span></p><p><br/></p>","barId":"2448","topicTypeId":"2","topicThemeId":"1032","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1145,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1513149938694,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1513149938694,"metaSearch":null,"rn":null},{"id":"9214","isDel":0,"createAt":1513148319946,"createBy":"db869ccaaef711e7a3d800163e04584d","createName":"海绵宝宝","updateAt":0,"updateBy":null,"updateName":null,"userId":"db869ccaaef711e7a3d800163e04584d","title":"如何护理主动脉夹层瘤","content":"<p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><br/></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\"><span style=\"font-family:宋体\">主动脉夹层瘤多见于</span>40～70岁的中老年人，约有70%的病人有高血压病史，这可能是由于高血压使主动脉长期处于应激状态，久而久之，使中层弹性组织发生退行性变所致。此外，动脉粥样硬化，结缔组织遗传性疾病，妊娠，严重外伤和重体力劳动也是常见原因。那么主动脉夹层瘤该如何护理呢？</span></p><p style=\"margin-right: 0px; margin-left: 0px; text-indent: 32px; text-align: center; line-height: 200%;\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\"><img src=\"http://01luntan.com/ly_img/uimgs/1513148274488.jpg\" title=\"如何护理主动脉夹层瘤\" alt=\"如何护理主动脉夹层瘤\" width=\"600\" height=\"372\"/></span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">心理护理</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">由于患者突然剧烈痛、腹部撕裂样疼痛，使患者甚为恐惧、焦虑，加上对监护环境、仪器较为陌生及令其绝对卧床，使其更加忧虑，这对心率、血压的控制极为不利，可促使夹层血肿伸延。因此，专科护士应及时关心安慰患者，解除病情，以消除恐惧、焦虑心情，积极配合治疗。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">基础护理</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\"><span style=\"font-family:宋体\">患者收住</span>ICU后，绝对卧床休息，严密监测心电、血压、心率、呼吸等生命体征变化，发现异常及时报告医生，记录24h出入量，给予清淡易消化的半流质饮食或软食，给予通便药以保持大便通畅，忌用力排便，以免加重病情。</span></p><p style=\"margin-right: 0px; margin-left: 0px; text-indent: 32px; text-align: center; line-height: 200%;\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\"><img src=\"http://01luntan.com/ly_img/uimgs/1513149259601.png\" title=\"如何护理主动脉夹层瘤\" alt=\"如何护理主动脉夹层瘤\" width=\"600\" height=\"372\"/></span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">执行医嘱治疗</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">1、减慢心率</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\"><span style=\"font-family:宋体\">由于患者焦虑、恐惧和血压异常，常出现心率加快超过</span>100次/min，心率加快，可使夹层血肿伸延，故应及时报告医生。使用β受体阻滞剂，控制心率60～70次/min，可有效地延缓或终止夹层血肿继续伸延，疼痛消失。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">2、镇静止痛</span></p><p style=\"margin-right:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\"><span style=\"font-family:宋体\">由于主动脉瘤血肿不断伸延导致剧烈疼痛，一般强效镇痛剂可酌情使用度冷丁</span>50～100mg肌肉注射，或吗啡5～10mg静注或静脉滴注，可达到镇静、安神作用，减轻患者的恐惧及焦虑心情，以便配合治疗。当疼痛缓解，提示夹层血肿停止伸延;若疼痛反复出现，应警惕夹层血肿扩展。</span></p><p style=\"margin-right: 0px; margin-left: 0px; text-indent: 32px; text-align: center; line-height: 200%;\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\"><img src=\"http://01luntan.com/ly_img/uimgs/1513149092793.jpg\" title=\"如何护理主动脉夹层瘤\" alt=\"如何护理主动脉夹层瘤\" width=\"600\" height=\"372\"/></span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">3、控制血压</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\"><span style=\"font-family:宋体\">主要病因是高血压，发病早期血压正常或升高，由于夹层血肿压迫造成一侧血压降低或上肢血压高于下肢形成四肢血压不对称，所以应严密观察四肢血压变化并详细记录，在测血压时应左、右、上、下肢血压同时测量，为医生提供诊断及鉴别依据。若血压升高者可用硝普钠静脉微泵入，加快血管紧张素转化酶抑制剂，保持血压</span>100～110mmHg，以保证心、脑、肾等主要器官灌注基本正常。</span></p><p><br/></p>","barId":"2448","topicTypeId":"2","topicThemeId":"1032","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1965,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1513148319948,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1513148319948,"metaSearch":null,"rn":null},{"id":"7939","isDel":0,"createAt":1511166725398,"createBy":"8abb11d0af1511e7a3d800163e04584d","createName":"良药苦口","updateAt":0,"updateBy":null,"updateName":null,"userId":"8abb11d0af1511e7a3d800163e04584d","title":"主动脉夹层容易与哪些疾病混淆","content":"<p style=\"margin-right: 0px; margin-left: 0px; text-indent: 32px; text-align: center; line-height: 200%;\"><img src=\"http://01luntan.com/ly_img/uimgs/1511166805884.jpg\" title=\"主动脉夹层容易与哪些疾病混淆\" alt=\"主动脉夹层容易与哪些疾病混淆\" width=\"600\" height=\"372\"/></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">主动脉夹层临床表现较复杂</span>,几乎累及全身各系统。常常表现为急起剧烈胸痛、血压高、突发主动脉瓣关闭不全、两侧脉搏不等或触及搏动性肿块应考虑此症。胸痛常被考虑为急性心肌梗塞，但心肌梗塞时胸痛开始不甚剧烈，逐渐加重，或减轻后再加剧，不向胸部以下放射，用止痛药可收效，伴心电图特征性变化，若有休克外貌则血压常低，也不引起两侧脉搏不等，以上各点足资鉴别。故在主动脉夹层的早期鉴别诊断中须注意:</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">　　(1)持续性剧烈胸痛、腹痛,起病急骤,吗啡等不能使之缓解;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">　　(2)虽有胸痛、腹痛,并出现休克征象,但血压轻度降低或不降,甚至反而升高;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">　　(3)突然出现主动脉关闭不全体征,或心衰进行性加重;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">　　(4)胸骨上窝、腹部触及搏动性肿块;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">　　(5)两侧肱动脉、股动脉搏动强弱不一,甚至出现无脉症;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">　　(6)酷似急性心肌梗死,而心电图无特征性改变;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">　　(7)胸痛伴神经系统症状,如晕厥、偏瘫及老年人突然出现意识障碍等。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">　　如遇上述表现</span>,则须高度怀疑主动脉夹层可能,应及时行影像学检查。近年来各种检查方法对确立主动脉夹层很大帮助，超声心动图、CT扫描、磁共振均可用以诊断，对考虑手术者主动脉造影仍甚必要。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p><br/></p>","barId":"2448","topicTypeId":"2","topicThemeId":"1032","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1949,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1511166725400,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1511166725400,"metaSearch":null,"rn":null}],"type2":[{"id":"11524","isDel":0,"createAt":1516591215663,"createBy":"8b39c578b53311e7a3d800163e04584d","createName":"梅油油","updateAt":0,"updateBy":null,"updateName":null,"userId":"8b39c578b53311e7a3d800163e04584d","title":"专家为您解答常见的主动脉夹层临床表现有哪些","content":"<p style=\"text-indent:32px;line-height:200%\"><br/></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">大家</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">在</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">知道</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">一种疾病的时候，首先要了解</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">该</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">疾病的症状，在</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">熟悉</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">了</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">该疾病</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">的症状的时候，根据</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">这些</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">症状到医院做</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">仔细</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">的检查，才能</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">得到尽早的</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">治疗，在生活中患有主动脉夹层的时候，我们</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">首先要</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">了解</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">疾病</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">的症状，下面，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">找良医网带大家</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">看看常见的<strong>主动脉夹层临床表现</strong>有哪些吧</span>!</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"text-indent: 32px; line-height: 200%; text-align: center;\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"></span><img src=\"http://01luntan.com/ly_img/uimgs/1516591541365.jpg\" title=\"专家为您解答常见的主动脉夹层临床表现有哪些\" alt=\"专家为您解答常见的主动脉夹层临床表现有哪些\" width=\"600\" height=\"372\"/><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><br/></span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><br/></span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\"font-family:宋体;font-size:16px\">1.&nbsp;</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">突发剧烈疼痛</span> <span style=\"font-family:宋体\">疼痛从一开始即极为剧烈，难以忍受</span>;疼痛性质呈搏动样、撕裂样、刀割样，并常伴有血管迷走神经兴奋表现，如大汗淋漓、恶心呕吐和晕厥等。</span></p><p style=\"text-indent:32px;line-height:200%\">　</p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">2.高血压 患者因剧痛而有休克外貌，焦虑不安、大汗淋漓、面色苍白、心率加速，但血压常不低或反而升高，约有</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">75</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">％～</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">90</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">％以上的远端夹层和</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">一部分</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">近端夹层有高血压。不少病人</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">原先</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">高血压者起病后疼痛使血压更高。低血压，常是夹层分离导致心包填塞、胸膜腔或腹膜腔破裂的结果，而当夹层累及头臂血管使肢体动脉损害或闭塞时，则</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">不会</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">准确测定血压而出现假性低血压。</span></p><p style=\"text-indent:32px;line-height:200%\">　</p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">3.夹层累及冠状动脉时，可出现心绞痛或心肌梗死;血肿压迫上腔静脉，可出现上腔静脉综合征;夹层血肿破裂到心包腔时，可迅速引起心包积血，导致急性心包填塞而死亡。</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">常见的</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">一些</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">主动脉夹层的症状</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">朋友们</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">都</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">有所了解了</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">找良医网温馨提示：</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">在</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">遇到这类</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">疾病的时候，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">大家</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">要采取</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">主动检查</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">的</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">方法</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">如果患上</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">主动脉夹层的时候，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">病患一定</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">要保持轻松的心情，学会排解自己的情绪，不要常常感觉到郁闷，我们要有勇气去面对这种疾病，祝大家早日康复</span>!</span></p><p><br/></p>","barId":"2448","topicTypeId":"2","topicThemeId":"1029","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1097,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1516591215665,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1516591215665,"metaSearch":null,"rn":null},{"id":"11522","isDel":0,"createAt":1516590453790,"createBy":"8b39c578b53311e7a3d800163e04584d","createName":"梅油油","updateAt":1516620510815,"updateBy":"8b39c578b53311e7a3d800163e04584d","updateName":"梅油油","userId":"8b39c578b53311e7a3d800163e04584d","title":"专家为您介绍主动脉夹层的症状包括哪些  ","content":"<p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">在众多消化内科疾病中，主动脉夹层是比较常见的，疼痛是</span><strong><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">主动脉夹层</span></strong><strong><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">的症状</span></strong><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">发病开始时最常见。有近</span>50%的患者因剧烈疼痛可有休克、焦虑不安、大汗淋漓、面色苍白、皮肤湿冷、心跳加速等。只有了解了这些症状之后，才能在这些基础上得出准确的诊断和治疗方法，从而帮助大家积极的恢复健康。</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><br/></span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><br/></span></p><p style=\"margin: 0px; text-indent: 32px; text-align: center; line-height: 200%;\"><span style=\"letter-spacing: 0;font-size: 16px\">&nbsp;<img src=\"http://01luntan.com/ly_img/uimgs/1516621408294.jpg\" title=\"专家为您介绍主动脉夹层的症状包括哪些  \" alt=\"专家为您介绍主动脉夹层的症状包括哪些  \" width=\"600\" height=\"372\"/></span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\">　　</p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><br/></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><strong><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">主动脉夹层症状</span></strong><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">：</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">(1)呼吸系统：夹层血肿破入胸腔，可引起胸腔积血，会有胸痛、呼吸困难或咯血等症状，会出现有出血性休克。</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\">　</p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">(2)神经系统：夹层血肿沿着无名动脉或颈总动脉向上扩展或累及肋间动脉、椎动脉，可出现头昏、神志模糊、肢体麻木、偏瘫、截瘫及昏迷;压迫喉返神经，可出现声嘶;压迫颈交感神经节，可出现霍纳(Horner)综合征等。</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\">　　</p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">(3)消化系统：夹层累及腹主动脉及其分支，病人可出现剧烈腹痛、恶心、呕吐等类似急腹症的表现;夹层血肿压迫食管，则会有吞咽障碍，破入食管可引起大呕血;血肿压迫肠系膜上动脉，可致小肠缺血性坏死而发生便血。</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\">　　</p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">(4)泌尿系统：夹层累及肾动脉，可引起腰痛及血尿。肾脏急性缺血，可引起急性肾功能衰竭或肾性高血压等。</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\">　　</p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">找良医网温馨提示：不管是什么疾病，病因的症状都是需要了解的，主动脉夹层也是如此，只有正确把握主动脉夹层的症状，才能够在此基础上得出积极的诊断和治疗，便于实现疾病早日康复，并且合理规避疾病风险。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p><br/></p>","barId":"2448","topicTypeId":"2","topicThemeId":"1029","readLevel":1,"files":"[]","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1034,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1516590453792,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1516590453792,"metaSearch":null,"rn":null},{"id":"9801","isDel":0,"createAt":1514183442047,"createBy":"db869ccaaef711e7a3d800163e04584d","createName":"海绵宝宝","updateAt":0,"updateBy":null,"updateName":null,"userId":"db869ccaaef711e7a3d800163e04584d","title":"主动脉夹层的典型症状是什么","content":"<p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><br/></p><p style=\"margin-right: 0px; margin-left: 0px; text-indent: 32px; text-align: center; line-height: 200%;\"><img src=\"http://01luntan.com/ly_img/uimgs/1514183898889.jpg\" title=\"主动脉夹层的典型症状是什么\" alt=\"主动脉夹层的典型症状是什么\" width=\"600\" height=\"372\"/></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">关于</span><strong><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">主动脉夹层的典型症状</span></strong><span style=\";font-family:宋体;line-height:200%;font-size:16px\">，大家比较关注，只有把握了主动脉夹层的典型症状，对症治疗才能够取得好的效果，通常</span><strong><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">主动脉夹层的典型症状</span></strong><span style=\";font-family:宋体;line-height:200%;font-size:16px\">有很多，如下便是专家对主动脉夹层的典型症状做出的分析。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><strong><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">主动脉夹层的典型症状</span></strong><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">为突发的胸背部剧烈疼痛，常描述为</span>“撕裂样”疼痛，伴有面色苍白、大汗淋漓、晕厥，如果累及心脏，可表现为心前区疼痛、胸闷、呼吸困难。如果累及大脑，可能出现昏迷或者半侧肢体麻木。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">真性、假性动脉瘤容易被患者误以为是食道、肺部疾病而忽视、延误治疗，而主动脉夹层则容易被误诊为心肌梗塞、胆结石、肾结石甚至是腰背部扭伤。</span></p><p><br/></p>","barId":"2448","topicTypeId":"2","topicThemeId":"1029","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1160,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1514183442049,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1514183442049,"metaSearch":null,"rn":null},{"id":"7386","isDel":0,"createAt":1510377450421,"createBy":"e8f7486fbba411e7a3d800163e04584d","createName":"1516932689@qq.com","updateAt":1522311295972,"updateBy":"e8f7486fbba411e7a3d800163e04584d","updateName":"1516932689@qq.com","userId":"e8f7486fbba411e7a3d800163e04584d","title":"主动脉夹层有哪些症状表现","content":"<p style=\"text-indent: 32px; padding: 0px; line-height: 200%; background: rgb(255, 255, 255); text-align: left;\"><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\"></span></span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">主动脉夹层这个疾病想必大家应该也听过，但是很多人对它的了解还是少之甚少，那么</span></span><strong><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">主动脉夹层</span></span></strong><strong><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">的</span></span></strong><strong><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">症状表现</span></span></strong><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">有哪些</span></span><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">呢？下面我们就一起来了解一下吧。</span></span></p><p style=\"text-indent: 32px; padding: 0px; line-height: 200%; background: rgb(255, 255, 255); text-align: left;\"><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\"></span></span><br/></p><p style=\"text-indent: 32px; padding: 0px; line-height: 200%; background: rgb(255, 255, 255); text-align: center;\"><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\"><img src=\"http://01luntan.com/ly_img/uimgs/1510378407714.png\" title=\"主动脉夹层有哪些症状表现\" alt=\"主动脉夹层有哪些症状表现\" width=\"600\" height=\"372\"/></span></span></p><p style=\";text-indent: 32px;padding: 0;line-height: 200%;background: rgb(255, 255, 255)\"><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\"><br/></span></span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\">一、</span><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">疼痛</span></span><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\">　</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">夹层分离突然发生时多数患者突感胸部疼痛，向胸前及背部放射，随夹层涉及范围而可以延至腹部、下肢、壁及颈部。疼痛剧烈难以忍受，起病后即达高峰，呈刀割或撕裂样。少数起病缓慢者疼痛可以不著。</span></span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\">二、</span><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">高血压</span></span><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\">　</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">患者因剧痛而有休克外貌，焦虑不安、大汗淋漓、面色苍白、心率加速，但血压常不低或者增高，如外膜破裂出血则血压降低。不少患者原有高血压，起病后剧痛使血压更增高。</span></span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\">三、</span><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">心血管症状</span></span><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\">　</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\">①主动脉瓣关闭不全。夹层血肿涉及主动脉瓣环或影响心瓣-叶的支撑时发生，故可突然在主动脉瓣区出现舒张期吹风样杂音，脉压增宽，急性主动脉瓣返流可以引起心力衰竭。</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\">②脉搏改变，一般见于颈、肱或股动脉，一侧脉搏减弱或消失，反映主动脉的分支受压迫或内膜裂片堵塞其起源。</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\">③胸锁关节处出现搏动或在胸骨上窝可触到搏动性肿块。</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\">④可有心包摩擦音，夹层破裂入心包腔可引起心包堵塞。</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\">⑤胸腔积液，夹层破裂入胸膜腔内引起。</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\">四、</span><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">神经症状</span></span><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\">　</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">主动脉夹层延伸至主动脉分支颈动脉或肋间动脉，可造成脑或脊髓缺血，引起偏瘫、昏迷、神志模糊、截瘫、肢体麻木、反射异常、视力与大小便障碍。</span></span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\">五、</span><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">压迫症状</span></span><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\">　</span> </p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">主动脉夹层压迫腹腔动脉、肠系膜动脉时可引起恶心、呕吐、腹胀、腹泻、黑粪等症状</span></span><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">；</span></span><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">压迫颈交感神经节引起霍纳</span>(Horner)综合征</span><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">；</span></span><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">压迫喉返神经致声嘶</span></span><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">；</span></span><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">压迫上腔静脉致上腔静脉综合征</span></span><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">；</span></span><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">累及肾动脉可有血尿、尿闭及肾缺血后血压增高。</span></span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:28px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\"><span style=\"font-family:宋体\">找良医网温馨提示：以上就是关于主动脉夹层有哪些症状表现</span></span><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px;background: rgb(255, 255, 255)\"><span style=\"font-family:宋体\">的</span></span><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\"><span style=\"font-family:宋体\">介绍，希望能对大家有所帮助，希望各位定期做身体检查，如有身体不适请及时到医院就诊，早日查清病况及早治疗。最后，祝愿大家身体健康！</span></span></p><p style=\";text-indent: 32px;padding: 0;line-height: 200%;background: rgb(255, 255, 255)\"><br/></p>","barId":"2448","topicTypeId":"2","topicThemeId":"1029","readLevel":1,"files":"[]","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1633,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1510377450422,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1510377450422,"metaSearch":null,"rn":null},{"id":"6049","isDel":0,"createAt":1508403247824,"createBy":"8abb11d0af1511e7a3d800163e04584d","createName":"良药苦口","updateAt":1522487556100,"updateBy":"8abb11d0af1511e7a3d800163e04584d","updateName":"良药苦口","userId":"8abb11d0af1511e7a3d800163e04584d","title":"主动脉夹层有哪些症状？有什么表现？","content":"<p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">主动脉夹层有哪些症状？找良医网向您详细介绍主动脉夹层症状，尤其是</span><strong><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">主动脉夹层的早期症状</span></strong><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">，主动脉夹层有什么表现？得了主动脉夹层会怎样？</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">主动脉夹层症状典型症状：</span> <span style=\"font-family:宋体\">剧烈疼痛，额部疼痛，颈部疼痛，肩胛放射性疼痛，心率增快，夹层血肿，头晕，神志模糊。</span></span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">相关症状：</span> <span style=\"font-family:宋体\">周身出汗</span> <span style=\"font-family:宋体\">四肢血压脉搏不对称</span> <span style=\"font-family:宋体\">恶心与呕吐</span> <span style=\"font-family:宋体\">胸痛</span></span></p><p style=\"text-align:center\"><img width=\"600\" height=\"372\" title=\"主动脉夹层有哪些症状？有什么表现？\" alt=\"主动脉夹层有哪些症状？有什么表现？\" src=\"http://01luntan.com/ly_img/uimgs/1508403209437.jpg\"/></p><p style=\"line-height: 200%;\">&nbsp;&nbsp;</p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">主动脉夹层症状视病变部位而不同，主要表现如下：</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">1.突发剧烈疼痛</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;<span style=\"font-family:宋体\">这是发病开始最常见的症状，可见于</span>90%以上的患者，并具有以下特点：</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">(1)疼痛强度比其部位更具有特征性：</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">疼痛从一开始即极为剧烈，难以忍受</span>;疼痛性质呈搏动样、撕裂样、刀割样，并常伴有血管迷走神经兴奋表现，如大汗淋漓、恶心呕吐和晕厥等。</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">(2)疼痛部位有助于提示分离起始部位：</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">前胸部剧烈疼痛，多发生于近端夹层，而肩胛间区最剧烈的疼痛更多见于起始远端的夹层</span>;虽然近端和远端夹层可同时感到前胸和后背的疼痛，但若无后面肩胛间区疼痛，则可排除远端夹层，因为远端夹层的病人90%以上有后背疼痛;颈部、咽部、额或牙齿疼痛常提示夹层累及升主动脉或主动脉弓部。</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">(3)疼痛部位呈游走性提示主动脉夹层的范围在扩大：</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">疼痛可由起始处移向其他部位，往往是沿着分离的路径和方向走行，引起头颈、腹部、腰部或下肢疼痛，约</span>70%的病人具有这一特征.并因夹层血肿范围的扩大而引起主动脉各分支的邻近器官的功能障碍。</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">(4)疼痛常为持续性：</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">有的患者疼痛自发生后一直持续到死亡，止痛剂如吗啡等难以缓解</span>;有的因夹层远端内膜破裂使夹层血肿中的血液重新回到主动脉管腔内而使疼痛消失;若疼痛消失后又反复出现，应警惕主动脉夹层又继续扩展并有向外破裂的危险;少数无疼痛的患者多因发病早期出现晕厥或昏迷而掩盖了疼痛症状。</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">2.高血压</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">患者因剧痛而有休克外貌，焦虑不安、大汗淋漓、面色苍白、心率加速，但血压常不低或反而升高，约有</span>80%～90%以上的远端夹层和部分近端夹层有高血压。不少病人原有高血压者起病后疼痛使血压更高。低血压，常是夹层分离导致心包填塞、胸膜腔或腹膜腔破裂的结果，而当夹层累及头臂血管使肢体动脉损害或闭塞时，则不能准确测定血压而出现假性低血压。</span></p><p style=\"text-align: center; line-height: 200%; text-indent: 32px; -ms-text-autospace: ideograph-numeric; -ms-text-justify: inter-ideograph;\"><span style=\"line-height: 200%; font-family: 宋体; font-size: 16px;\"><img width=\"600\" height=\"372\" title=\"主动脉夹层有哪些症状？有什么表现？\" alt=\"主动脉夹层有哪些症状？有什么表现？\" src=\"http://01luntan.com/ly_img/uimgs/1508403665218.jpg\"/></span></p><p style=\"text-align: left; line-height: 200%; text-indent: 32px;\"><span style=\"line-height: 200%; font-family: 宋体; font-size: 16px;\"></span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">3.夹层破裂或压迫症状</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">由于夹层血肿压迫周围软组织，波及主动脉大分支，或破入邻近器官引起相应器官系统损害，出现多系统受损的临床表现。</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">(1)心血管系统：</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">主动脉瓣反流是近端主动脉夹层的重要特征之一，可出现主动脉瓣区舒张期杂音，常呈音乐样，沿胸骨左缘更清晰，可随血压高低而呈强弱变化。根据返流程度的不同，主动脉瓣关闭不全的其他外周血管征也可出现，如脉压增宽或水冲脉等，急性严重的主动脉瓣关闭不全可出现心力衰竭。近端夹层引起主动脉瓣关闭不全的机制有四个方面：</span>A.夹层使主动脉根部扩张，瓣环扩大，舒张期时主动脉瓣瓣叶不能闭拢;B.在非对称性夹层，夹层血肿压迫某一瓣叶，使之处于其他瓣叶的关闭线以下，造成关闭不全;C.瓣叶或瓣环支架撕裂，使一个瓣叶游离或呈连枷状，导致瓣膜关闭不全;D.夹层血肿撕裂内膜片游离出主动脉瓣叶之下，影响主动脉瓣关闭。</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">近端夹层者有半数可累及头臂血管，少数远端夹层可累及左锁骨下动脉和股动脉，出现脉搏减弱或消失，或两侧强弱不等，或两臂血压出现明显差别，或上下肢血压差距减小等血管阻塞征象。其原因或是由于夹层扩展直接压迫动脉管腔，或是由于撕裂的内膜片覆盖在血管口而阻断血流。</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">夹层累及冠状动脉时，可出现心绞痛或心肌梗死</span>;血肿压迫上腔静脉，可出现上腔静脉综合征;夹层血肿破裂到心包腔时，可迅速引起心包积血，导致急性心包填塞而死亡。</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">(2)神经系统：</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">夹层血肿沿着无名动脉或颈总动脉向上扩展或累及肋间动脉、椎动脉，可出现头昏、神志模糊、肢体麻木、偏瘫、截瘫及昏迷</span>;压迫喉返神经，可出现声嘶;压迫颈交感神经节，可出现霍纳(Horner)综合征等。</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">(3)消化系统：</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">夹层累及腹主动脉及其分支，病人可出现剧烈腹痛、恶心、呕吐等类似急腹症的表现</span>;夹层血肿压迫食管，则出现吞咽障碍，破入食管可引起大呕血;血肿压迫肠系膜上动脉，可致小肠缺血性坏死而发生便血。</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">(4)泌尿系统：</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">夹层累及肾动脉，可引起腰痛及血尿。肾脏急性缺血，可引起急性肾功能衰竭或肾性高血压等。</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">(5)呼吸系统：</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">夹层血肿破入胸腔，可引起胸腔积血，出现胸痛、呼吸困难或咯血等，有时可伴有出血性休克。</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">主动脉夹层常见分类方法是根据破口发生部位而划分的。</span>①距主动脉瓣数厘米内的升主动脉;②胸降主动脉，往往是在锁骨下动脉开口处的下方动脉导管索的部位。根据主动脉受累的范围和程度有三种主要的分类法(图3)。</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">4.DeBakey分类法</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">Ⅰ型，夹层起始升主动脉，并越过升主动脉弓而至降主动脉;Ⅱ型，夹层起始并局限于升主动脉;Ⅲ型，夹层起始于降主动脉左锁骨下动脉开口远端并可延伸至膈下腹主动脉，比较罕见的情况是逆向朝远端延伸累及主动脉弓和升主动脉。</span></p><p style=\"text-align: left; line-height: 200%; text-indent: 32px;\"><span style=\"line-height: 200%; font-family: 宋体; font-size: 16px;\"><br/></span><br/></p><p style=\"text-align:center\"><span style=\"line-height: 200%; font-family: 宋体; font-size: 16px;\"><img width=\"600\" height=\"372\" title=\"主动脉夹层有哪些症状？有什么表现？\" alt=\"主动脉夹层有哪些症状？有什么表现？\" src=\"http://01luntan.com/ly_img/uimgs/1508403896280.jpg\"/></span></p><p style=\"text-align: justify; line-height: 200%; text-indent: 32px; -ms-text-autospace: ideograph-numeric; -ms-text-justify: inter-ideograph;\"><font face=\"宋体\">&nbsp;</font></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">5.Daily和Miller分类法</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">A型，即所有的近端主动脉夹层以及那些远端有夹层但逆向延伸累及弓部和升主动脉者(包括DeBakeyⅠ型和Ⅱ型);B型，即夹层仅在左锁骨下动脉开口远端以下的部位而未累及近端者。解剖学类型“近端”主动脉夹层(deBakey Ⅰ型和Ⅱ型或A型);“远端”主动脉动脉壁夹层形成(deBakey Ⅲ型或B型)。</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">除此之外，主动脉夹层还可根据病程长短来分期：病程短于</span>2周者，为“急性”主动脉夹层;病程长于2周者，为“慢性”主动脉夹层。在未治疗的急性主动脉夹层患者中，死亡率可达75%～80%。在确诊的患者中，2/3为急性主动脉夹层，1/3为慢性主动脉夹层。</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">找良医网温馨提示：如有身体不适，请及时就医！</span></p>","barId":"2448","topicTypeId":"2","topicThemeId":"1029","readLevel":1,"files":"[]","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1114,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1508403247826,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1508403247826,"metaSearch":null,"rn":null}],"metaSearch":{"description":"为您提供:主动脉夹层发病原因_主动脉夹层破裂有救吗_主动脉夹层术后寿命5年_动脉夹层病友的治疗经验等相关信息，让病友在便捷的求医路上不花一分冤枉钱。","keywords":"主动脉夹层发病原因_主动脉夹层破裂有救吗_主动脉夹层术后寿命5年","title":"主动脉夹层发病原因_主动脉夹层破裂有救吗_主动脉夹层术后寿命5年","channels":{"病友社区":{"description":"为病友提供:主动脉夹层论坛_病友交流平台_病友论坛，让病友在便捷的求医路上不花一分冤枉钱。","keywords":"主动脉夹层论坛_病友交流平台_病友论坛","title":"主动脉夹层论坛_病友交流平台_病友论坛","channels":null},"治疗":{"description":"为您提供:主动脉夹层怎么治疗_主动脉夹层的介入治疗_主动脉夹层保守治疗等相关信息，让病友在便捷的求医路上不花一分冤枉钱。","keywords":"主动脉夹层怎么治疗_主动脉夹层的介入治疗_主动脉夹层保守治疗","title":"主动脉夹层怎么治疗_主动脉夹层的介入治疗_主动脉夹层保守治疗","channels":null},"症状":{"description":"为您提供:主动脉夹层破裂前征兆_主动脉夹层发病前症状_主动脉夹层什么症状等相关信息，让病友在便捷的求医路上不花一分冤枉钱。","keywords":"主动脉夹层破裂前征兆_主动脉夹层发病前症状_主动脉夹层什么症状","title":"主动脉夹层破裂前征兆_主动脉夹层发病前症状_主动脉夹层什么症状","channels":null},"并发症":{"description":"为您提供:主动脉夹层术后并发症_主动脉夹层并发症_主动脉夹层的并发症等相关信息，让病友在便捷的求医路上不花一分冤枉钱。","keywords":"主动脉夹层术后并发症_主动脉夹层并发症_主动脉夹层的并发症","title":"主动脉夹层术后并发症_主动脉夹层并发症_主动脉夹层的并发症","channels":null},"饮食":{"description":"为您提供:主动脉夹层的饮食_主动脉夹层手术后饮食_主动脉夹层不能吃什么等相关信息，让病友在便捷的求医路上不花一分冤枉钱。","keywords":"主动脉夹层的饮食_主动脉夹层手术后饮食_主动脉夹层不能吃什么","title":"主动脉夹层的饮食_主动脉夹层手术后饮食_主动脉夹层不能吃什么","channels":null},"病因":{"description":"为您提供:主动脉夹层形成的原因_主动脉夹层是怎么得的_主动脉夹层怎么形成的等相关信息，让病友在便捷的求医路上不花一分冤枉钱。","keywords":"主动脉夹层形成的原因_主动脉夹层是怎么得的_主动脉夹层怎么形成的","title":"主动脉夹层形成的原因_主动脉夹层是怎么得的_主动脉夹层怎么形成的","channels":null},"病友求助":{"description":"为您提供:主动脉夹层能治好吗_主动脉夹层能活几年?_动脉夹层手术成功率等相关信息，让病友在便捷的求医路上不花一分冤枉钱。","keywords":"主动脉夹层能治好吗_主动脉夹层能活几年?_动脉夹层手术成功率","title":"主动脉夹层能治好吗_主动脉夹层能活几年?_动脉夹层手术成功率","channels":null},"预防":{"description":"为您提供:主动脉夹层要注意什么_怎么预防主动脉夹层_如何预防主动脉夹层等相关信息，让病友在便捷的求医路上不花一分冤枉钱。","keywords":"主动脉夹层要注意什么_怎么预防主动脉夹层_如何预防主动脉夹层","title":"主动脉夹层要注意什么_怎么预防主动脉夹层_如何预防主动脉夹层","channels":null}}},"focus":0,"type1":[{"id":"11519","isDel":0,"createAt":1516589778474,"createBy":"8b39c578b53311e7a3d800163e04584d","createName":"梅油油","updateAt":1516589791846,"updateBy":"8b39c578b53311e7a3d800163e04584d","updateName":"梅油油","userId":"8b39c578b53311e7a3d800163e04584d","title":"专家带你来了解主动脉夹层治疗方案","content":"<p style=\"text-indent:32px;line-height:200%\"><br/></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">主动脉夹层</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">最主要</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">的治疗</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">办法</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">就是手术治疗，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">可以适当的</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">阻止内膜的进一步撕裂、扩展，防止假腔</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">张大</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">。</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">不一样的</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">主动脉夹层，手术治疗的方式也</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">会</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">不</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">一样。</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">因此，很多患者</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">都会关心</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">做主动脉夹层手术有哪几种？</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">那么大家知道</span><strong><span style=\";font-family:宋体;line-height:200%;font-size:16px\">主动脉夹层治疗方案</span></strong><span style=\";font-family:宋体;line-height:200%;font-size:16px\">吗？</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">这些问题一直困扰着我们</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">，下面</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">找良医网就带大家</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">简单来了解一下吧。</span></p><p style=\"text-indent:32px;line-height:200%\">　　</p><p style=\"text-indent: 32px; line-height: 200%; text-align: center;\"><img src=\"http://01luntan.com/ly_img/uimgs/1516589776508.jpg\" title=\"专家带你来了解主动脉夹层治疗方案\" alt=\"专家带你来了解主动脉夹层治疗方案\" width=\"600\" height=\"372\"/></p><p style=\"text-indent:32px;line-height:200%\"><br/></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">主动脉夹层的</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">首选</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">手术治疗原则：近端主动脉夹层一般采用人工血管置换术的外科手术治疗；而远端主动脉夹层大多采用的是经皮覆膜支架腔内隔绝术，有时也采用外科手术治疗。</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">动脉夹层是指由于内膜局部撕裂，受到</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">呛进有力</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">的血液冲击，内膜</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">逐渐</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">剥离、扩展，在动脉内形成真、假两腔。从而</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">诱导一系列</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">包括撕裂样疼痛的</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">症状</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">。主动脉是</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">人体</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">的主干血管，承受来自心脏跳动的</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">直接</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">压力，血流量</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">很大</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">，出现内膜层撕裂，如果不进行</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">尽早和适当</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">的治疗，破裂的机会</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">很</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">大，死亡率也</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">是极</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">高。</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">所以</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">，主动脉夹层手术还真的是患者</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">不可避免的</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">。</span></p><p style=\"text-indent:32px;line-height:200%\">　　</p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">主动脉夹层最重要的治疗方法就是手术治疗，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">因为可以</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">有效阻止内膜的进一步撕裂、扩展，防止假腔扩大。</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">不同种类</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">的主动脉夹层，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">该</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">手术治疗的方式也不一样。</span></p><p style=\"text-indent:32px;line-height:200%\">　　</p><p style=\"text-indent:32px;line-height:200%\">　　</p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">另外</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">，根据主动脉夹层内膜破口的</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">不同位置</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">，所</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">采取</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">的手术术式也</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">会</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">同。主动脉根部手术常用</span>Bentall术、Wheat术、David术和Cabrol术等，进行主动脉瓣置换和升主动脉置换术式，虽然操作</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">比较</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">简单，但是也</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">会有</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">窦部继续扩张的风险，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">很可能要再次</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">手术。</span></p><p style=\"text-indent:32px;line-height:200%\">　　</p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">主动脉夹层手术的预后差、生存率低的</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">大部分</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">原因是对主动脉夹层干预治疗太晚。</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">提高</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">手术成功率和远期预后，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">专家建议这类</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">患者都要</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">尽早</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">进行诊断治疗，以免影响</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">以后</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">的手术治疗的效果。</span></p><p style=\"text-indent:32px;line-height:200%\">　　</p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">上述内容就是找良医网就</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">主动脉夹层手术的两大分类</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">做了简单</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">的分析，希望</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">这类</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">患者要</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">重视</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">起来，也</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">要了解</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">这方面的疾病知识。主动脉夹层的患病率</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">也并不是</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">很高，但是大家也不能</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">不放在心上</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">，因为这种</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">疾病</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">死亡率极高，如果</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">没有办法</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">进行及时恰当的</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">救治</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">，患者的死亡率</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">极高</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">。</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">找良医网专家希望</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">大家都要定期到正规的医院进行</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">检查</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">，问题发现得早往往就不会造成日后</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">很大</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">的危害。</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">找良医网祝您身体健康！</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p><br/></p>","barId":"2448","topicTypeId":"1","topicThemeId":"1028","readLevel":1,"files":"[]","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1859,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1516589778476,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1516589778476,"metaSearch":null,"rn":null},{"id":"11517","isDel":0,"createAt":1516588024238,"createBy":"8b39c578b53311e7a3d800163e04584d","createName":"梅油油","updateAt":0,"updateBy":null,"updateName":null,"userId":"8b39c578b53311e7a3d800163e04584d","title":"专家为您解答主动脉夹层的治疗方法","content":"<p style=\"text-indent:32px;line-height:200%\"><br/></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">按平常来说</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">有些病患患上</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">慢性高血压疾病的患者主动脉夹层瘤发病率会上升。</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">大部分原因是</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">由于患者</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">长时间</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">高血压</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">上升</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">会</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">诱导</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">血管壁受到刺激性，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">很快</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">导致内膜出现分离的</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">症状</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">。</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">如果病患发生</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">主动脉夹层的时候</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">很</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">容易</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">导致</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">破裂出血的现象，会</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">伤害</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">到</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">病患</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">的生命安全，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">所以</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">当</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">病患</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">出现有主动脉夹层的时候，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">要尽早</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">到</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">正规</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">医院进行治疗，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">还需</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">要注意保证休息不要</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">去做重活</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">。找良医网为您介绍<strong>主动脉夹层的治疗</strong></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">方法</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">。</span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"line-height: 200%; text-align: center;\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><img src=\"http://01luntan.com/ly_img/uimgs/1516588834659.jpg\" title=\"专家为您解答主动脉夹层的治疗方法\" alt=\"专家为您解答主动脉夹层的治疗方法\" width=\"600\" height=\"372\"/></span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><br/></span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">1 手术介入疗法对于主动脉夹层患者是非常重要的</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">一种方法</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">，一般来说主要是在患者的病情比较稳定的时候再</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">去做</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">手术。手术的</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">方法是</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">根据</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">病患</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">的病情</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">大小</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">来</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">选择，而且还</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">要根据患者主动脉夹层的情况。</span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">2 </span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">就现在</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">来说，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">有些</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">患者主动脉夹层</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">根据</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">手术的治疗</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">是可以采取</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">微创的</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">方式</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">进行。</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">假如</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">患者的胸腔内</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">发生</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">了出血的现象或者患者出现疼痛，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">无法用</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">止疼药缓解的时候，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">都会是</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">患者做介入手术的一个</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">方法</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">。</span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">3 </span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">现在的</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">介入手术治疗主要是</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">采取不同</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">方法上</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">合并法</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">治疗。</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">有些</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">患者</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">会在</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">左侧锁骨下动脉处开一个</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">小口子</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">。</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">通过</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">手术</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">介入</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">的治疗能够比较</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">迅速</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">地</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">完善</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">患者的临床症状，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">并且预防</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">患者出现主动脉夹层破裂。</span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">找良医网温馨提示：</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">当患者出现主动脉夹层的时候，如果出现疼痛</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">很</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">明显，胸腔出现出血现象的时候一定要</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">马上</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">进行手术的方法进行治疗。介入手术是一种非常</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">有疗效</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">的方法。</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">最后，找良医网祝您身体健康！</span></p><p><br/></p>","barId":"2448","topicTypeId":"1","topicThemeId":"1028","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1143,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1516588024240,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1516588024240,"metaSearch":null,"rn":null},{"id":"6330","isDel":0,"createAt":1508908370233,"createBy":"8abb11d0af1511e7a3d800163e04584d","createName":"良药苦口","updateAt":1523516077813,"updateBy":"8abb11d0af1511e7a3d800163e04584d","updateName":"良药苦口","userId":"8abb11d0af1511e7a3d800163e04584d","title":"专家为您解读 主动脉夹层可能并发哪些疾病","content":"<p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">找良医网向您详细介绍</span><strong><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">主动脉夹层有哪些并发病症</span></strong><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">，主动脉夹层还会引起哪些疾病？由于主动脉夹层形成后，压迫腹腔动脉、肠系膜动脉时引起恶心、呕吐、腹胀、腹泻、黑便</span>;压迫颈交感神经节引起Horners综合征;压迫喉返神经引起声音嘶哑;压迫上腔静脉引起上腔静脉综合征;累及肾动脉引起血尿、尿闭及肾缺血后血压升高。并且可影响全身重要器官的供血，如心脏、大脑、内脏器官等，也是导致死亡的重要原因。65%～75%病人在急性期(2周内)死于心脏压塞、心律失常等心脏合并症。</span></p><p style=\"text-align:center\"><img src=\"http://01luntan.com/ly_img/uimgs/1508909011318.jpg\" title=\"专家为您解读 主动脉夹层可能并发哪些疾病\" alt=\"专家为您解读 主动脉夹层可能并发哪些疾病\" width=\"600\" height=\"372\"/></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">对本病进行不同的手术治疗，其并发症也不相同，此处将详细地介绍一下主动脉夹层覆膜支架腔内修复术围术期的并发症。</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">1、升主动脉夹层</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">术中和术后并发升主动脉夹层较常见。其最严重的结果是升主动夹层破裂，心脏压塞而导致死亡。如果及时发现，患者可以存活。升主动脉夹层无疑是最严重的并发症。其原因可能有以下几点：</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">(1)术中操作</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">各种导丝、导管及输送器可能造成主动脉内膜的损伤。</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">(2)头端裸支架</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">所有覆膜支架的头端均有裸金属支架，头端较尖，其与主动脉壁紧密接触，随着动脉的搏动，两者会有一定程度的摩擦，可能造成新的破口。</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">(3)支架选择过大</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">覆膜支架越大，其径向张力越大，可能造成主动脉损伤。</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">(4)患者本身血管壁的条件</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">患者有结缔组织病时，其自身血管壁较脆弱，不能承受覆膜支架支撑。</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">2、原发破口未完全封闭</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">有些术后内漏的患者，其假腔可长期保持通畅，其内可部分形成血栓，降主动脉直径受影响可增大亦可不增大。有些术后内漏患者内漏可消失，假腔内完全形成血栓。支架内漏是较为常见的并发症，内膜破口越大，离左锁骨下动脉开口越近，越容易产生内漏。即便将左锁骨下动脉开口完全封闭，也不能完全避免内漏。</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">3、急性肾功能衰竭</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">4、脑血管意外</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">有些患者可于术中发生脑梗死而导致偏瘫。发生严重并发症的患者可出现脑出血而死亡，多发生于术后血压较高的患者。术中脑梗死发生原因不明，可能与术中动脉硬化斑块脱落和术中控制性低血压有关。术后脑出血与高血压有关。主动脉夹层的患者往往合并高血压、动脉硬化。</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">5、外周血管损伤 </span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">找良医网温馨提示：如有身体不适，请及时就医！</span></p>","barId":"2448","topicTypeId":"1","topicThemeId":"1028","readLevel":1,"files":"[]","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1108,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1508908370239,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1508908370239,"metaSearch":null,"rn":null},{"id":"6065","isDel":0,"createAt":1508469028938,"createBy":"8abb11d0af1511e7a3d800163e04584d","createName":"良药苦口","updateAt":1522553676434,"updateBy":"8abb11d0af1511e7a3d800163e04584d","updateName":"良药苦口","userId":"8abb11d0af1511e7a3d800163e04584d","title":"主动脉夹层如何鉴别？专家给您讲解！","content":"<p style=\"text-align: justify; line-height: 200%; text-indent: 32px; -ms-text-autospace: ideograph-numeric; -ms-text-justify: inter-ideograph;\"><span style=\"line-height: 200%; font-family: 宋体; font-size: 16px;\"><span style=\"font-family: 宋体;\"></span></span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">主动脉夹层临床表现较复杂，几乎累及全身各系统。常常表现为急起剧烈胸痛、血压高、突发主动脉瓣关闭不全、两侧脉搏不等或触及搏动性肿块应考虑此症。胸痛常被考虑为急性心肌梗塞，但心肌梗塞时胸痛开始不甚剧烈，逐渐加重，或减轻后再加剧，不向胸部以下放射，用止痛药可收效，伴心电图特征性变化，若有休克外貌则血压常低，也不引起两侧脉搏不等，以上各点足资鉴别。故在</span><strong><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">主动脉夹层的早期鉴别</span></strong><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">诊断中须注意：</span></p><p style=\"text-align: center; line-height: 200%; text-indent: 32px;\"><img width=\"600\" height=\"372\" title=\"主动脉夹层如何鉴别？专家给您讲解！\" alt=\"主动脉夹层如何鉴别？专家给您讲解！\" src=\"http://01luntan.com/ly_img/uimgs/1508469150386.jpg\"/></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">(1)持续性剧烈胸痛、腹痛，起病急骤，吗啡等不能使之缓解;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">(2)虽有胸痛、腹痛，并出现休克征象，但血压轻度降低或不降，甚至反而升高;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">(3)突然出现主动脉关闭不全体征，或心衰进行性加重;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">(4)胸骨上窝、腹部触及搏动性肿块;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">(5)两侧肱动脉、股动脉搏动强弱不一，甚至出现无脉症;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">(6)酷似急性心肌梗死，而心电图无特征性改变;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">(7)胸痛伴神经系统症状，如晕厥、偏瘫及老年人突然出现意识障碍等。</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">如遇上述表现，则须高度怀疑主动脉夹层可能，应及时行影像学检查。近年来各种检查方法对确立主动脉夹层很大帮助，超声心动图、</span>CT扫描、磁共振均可用以诊断，对考虑手术者主动脉造影仍甚必要。</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">找良医网温馨提示：如有身体不适，请及时就医！</span></p>","barId":"2448","topicTypeId":"1","topicThemeId":"1028","readLevel":1,"files":"[]","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1265,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1508469028940,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1508469028940,"metaSearch":null,"rn":null}],"type0":[{"id":"11514","isDel":0,"createAt":1516585495684,"createBy":"8b39c578b53311e7a3d800163e04584d","createName":"梅油油","updateAt":0,"updateBy":null,"updateName":null,"userId":"8b39c578b53311e7a3d800163e04584d","title":"专家为您解答高血压易致主动脉夹层的形成","content":"<p style=\"text-indent:32px;line-height:200%\"></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">主动脉夹层是心胸外科常见的疾病之一，由于<strong>主动脉夹层的形成</strong>病变因范围不同会出现不同的表现，误诊率极高。主动脉夹层病因很多，其中由高血压、动脉硬化诱发此病最常见。因激动、劳累导致血压突然升高者，不规律服药者，血压控制不佳者，容易突发此病。</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">找良医网就带大家了解一下</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">高血压</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">诱发的<strong>主动脉夹层的形成</strong>。</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"text-indent: 32px; line-height: 200%; text-align: center;\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><img src=\"http://01luntan.com/ly_img/uimgs/1516586419799.jpeg\" title=\"专家为您解答高血压易致主动脉夹层的形成\" alt=\"专家为您解答高血压易致主动脉夹层的形成\" width=\"600\" height=\"372\"/></span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><br/></span></p><p style=\"line-height:200%\">　　<span style=\";font-family:宋体;line-height:200%;font-size:16px\">1、但凡长期有</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">高血压的</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">病患</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">如果突然</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">出现了剧烈的胸痛和血压的</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">异常病变</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">或是</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">腹部剧痛后出现了呕血</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">、</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">大咯血</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">或是</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">便血，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">应该是想到是可能患有</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">主动脉夹层病，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">应极早去医院</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">做</span>B超、CT检查。</span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"line-height:200%\">　　<span style=\";font-family:宋体;line-height:200%;font-size:16px\">2</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">、主动脉夹层</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">的病患不仅有</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">特征性的疼痛外，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">还会伴随</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">休克、气促、恶心、腰痛等</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">一些合并症</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">。</span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"line-height:200%\">　　<span style=\";font-family:宋体;line-height:200%;font-size:16px\">3</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">、预防主动脉夹层的</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">主要</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">是降低患者的</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">高血压</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">。高血压患者</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">要坚持去医院</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">监测血压，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">长期按时</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">服药，以将血压控制在正常的范围内。</span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">最后，找良医网祝您身体健康！</span></p><p><br/></p>","barId":"2448","topicTypeId":"1","topicThemeId":"1026","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1070,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1516585495686,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1516585495686,"metaSearch":null,"rn":null},{"id":"11513","isDel":0,"createAt":1516584946689,"createBy":"8b39c578b53311e7a3d800163e04584d","createName":"梅油油","updateAt":0,"updateBy":null,"updateName":null,"userId":"8b39c578b53311e7a3d800163e04584d","title":"专家为您解答主动脉夹层的病因主要是什么","content":"<p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"></span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">大部分人都很想知道</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">主动脉夹层的原因，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">但是这也</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">证明</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">朋友们</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">认识到了疾病</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">伤害</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">的重要性，也认识到了要想抵御疾病的伤害，首先要从病因入手，通常来说，<strong>主动脉</strong>夹层有很多方面的原因，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">找良医网接下来就给大家</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">介绍一下。</span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"></span><br/></p><p style=\"line-height: 200%; text-align: center;\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><img src=\"http://01luntan.com/ly_img/uimgs/1516585200500.jpg\" title=\"专家为您解答主动脉夹层的病因主要是什么\" alt=\"专家为您解答主动脉夹层的病因主要是什么\" width=\"600\" height=\"372\"/>&nbsp;</span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><br/></span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><br/></span></p><p style=\"line-height:200%\">　　<span style=\";font-family:宋体;line-height:200%;font-size:16px\">该疾病</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">的基本病变为囊性中层坏死。动脉中层弹性纤维有局部断裂或坏死，基质有粘液样和囊肿形成。主动脉壁分裂为二层，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">这中间积累</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">有血液和血块，该处主动脉明显</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">变大</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">，呈梭形或囊状。病变如涉及主动脉瓣环则环扩大而</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">导致</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">主动脉瓣关闭不全。病变可从主动脉根部向远处扩延，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">最长</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">可达髂动脉及股动脉，亦可累及主动脉的各分支，如无名动脉、颈总动脉、锁骨下动脉、肾动脉等。冠状动脉一般</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">不影响</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">，但主动脉根部夹层血块对冠状动脉开口处可有压迫作用。多数夹层的起源有内膜的横行裂口，常</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">处于</span><strong><span style=\";font-family:宋体;line-height:200%;font-size:16px\">主动脉</span></strong><span style=\";font-family:宋体;line-height:200%;font-size:16px\">瓣的上方，裂口也可有两处，夹层与主动脉腔相通。少数夹层的内膜完整无裂口。部分病例外膜破裂而引起大出血，破裂处都在升主动脉，出血</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">很快</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">进入心包腔内，破裂部位较低者亦可进入纵隔、胸腔易进入心包腔内，破裂部位较低者亦可进入纵隔、胸腔或腹膜后间隙。慢性裂开的夹层可以形成一双腔主动脉，一个管道</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">套于</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">另一个管道之中，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">这种</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">情况见于胸主动脉或主动脉弓的降支。</span>DeBakey将主动脉夹层分为3型：Ⅰ型夹层起自升主动脉并延至降主动脉，Ⅱ型局限于升主动脉，Ⅲ型夹层起自降主动脉并向远端延伸。</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">另外</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">，</span>Daily和Miller又将主动脉夹层分为</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">不同的类型</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">：凡升主动脉受累者为</span>A型(包括DeBakeyⅠ型和Ⅱ型)，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">疾病变化</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">在左锁骨下动脉远端开口为</span>B型(即DeBakeyⅢ型)，A型约占全部病例的2/3，B型约占1/3。</span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">　　主动脉中层囊性变性</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">导致</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">主动脉反复屈曲、高血压施加于主动脉的血流动力学作用及外伤等</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">原因</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">，使主动脉内膜撕裂形成夹层血肿。约</span>60％的撕裂发生于升主动脉，10％在主动脉弓，30％在胸降主动脉的</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">一</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">部分。夹层侵入中层的深度和夹层血肿蔓延的距离，都与主动脉中层变性范围</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">相关</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">。主动脉腔内血液进入中层，将内膜与中层分离开来，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">像这种</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">管壁的分离一般向动脉远端发展，也可短距离逆行向上延伸。主动脉夹层在动脉管壁呈螺旋状走行，呈广泛性夹层时，可累及它所发出的分支而影响邻近器官的血供</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">；或是</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">中层先有出血，形成血肿，并纵行发展将主动脉腔分成了一个真腔和一个假腔，假腔破裂可使血液</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">倒回</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">动脉腔形成</span>“自然治愈”，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">但</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">是</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">还有</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">破入心包或破入胸膜腔、纵隔、腹膜后等，导致严重并发症。</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">经过实验证明</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">，促使夹层血肿扩展的是脉搏陡度</span>(dp/dt)及血压，这正是急性主动脉夹层药物治疗的</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">答案</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">。</span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">关于</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">主动脉夹层的原因问题，大家</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">第一要先得到</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">正确的认识，并在此基础上得出准确的治疗方法，这样才能够</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">很好</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">的规避疾病危害，保证</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">病患的尽早康复，另外</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">朋友们</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">还一定要</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">尽早</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">到</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">正规</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">医院</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">进行</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">治疗。</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">最后，找良医网祝您身体健康！</span></p><p><br/></p>","barId":"2448","topicTypeId":"1","topicThemeId":"1026","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1204,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1516584946694,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1516584946694,"metaSearch":null,"rn":null},{"id":"9797","isDel":0,"createAt":1514177315685,"createBy":"db869ccaaef711e7a3d800163e04584d","createName":"海绵宝宝","updateAt":0,"updateBy":null,"updateName":null,"userId":"db869ccaaef711e7a3d800163e04584d","title":"主动脉夹层分离的病因","content":"<p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><br/></p><p style=\"margin-right: 0px; margin-left: 0px; text-indent: 32px; text-align: center; line-height: 200%;\"><img src=\"http://01luntan.com/ly_img/uimgs/1514178101960.jpg\" title=\"主动脉夹层分离的病因\" alt=\"主动脉夹层分离的病因\" width=\"600\" height=\"372\"/></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">本病病因至今未明。</span>80％以上</span><strong><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">主动脉夹层</span></strong><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">的患者有高血压，不少患者有囊性中层坏死。高血压并非引起囊性中层坏死的原因，但可促进其发展。临床与动物实验发现，不是血压的高度而是血压波动的幅度，与主动脉夹层分裂相关。遗传性疾病马凡综合征中主动脉囊性中层坏死颇常见，发生主动脉夹层的机会也多，其他遗传性疾病如特纳（</span>Turner）综合征、埃-当综合征，也有发生</span><strong><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">主动脉夹层</span></strong><span style=\";font-family:宋体;line-height:200%;font-size:16px\">的趋向。</span><strong><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">主动脉夹层</span></strong><span style=\";font-family:宋体;line-height:200%;font-size:16px\">还易在妊娠期发生，其原因不明，猜想妊娠时内分泌变化使主动脉的结构发生改变而易于裂开。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">正常成人的主动脉壁耐受压力颇强，使壁内裂开需</span>66.7kPa(500mmHg)以上。因此，造成夹层裂开的先决条件为动脉壁缺陷，尤其中层的缺陷。一般而言，在年长者以中层肌肉退行性变为主，年轻者则以弹性纤维的缺少为主。至于少数主动脉夹层无动脉内膜裂口者，则可能由于中层退行性变病灶内滋养血管的破裂引起壁内出血所致。合并存在动脉粥样硬化有助于主动脉夹层的发生。</span></p><p><br/></p>","barId":"2448","topicTypeId":"1","topicThemeId":"1026","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1053,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1514177315694,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1514177315694,"metaSearch":null,"rn":null},{"id":"9796","isDel":0,"createAt":1514177048377,"createBy":"db869ccaaef711e7a3d800163e04584d","createName":"海绵宝宝","updateAt":0,"updateBy":null,"updateName":null,"userId":"db869ccaaef711e7a3d800163e04584d","title":"老年主动脉夹层分离的临床症状","content":"<p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><br/></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">1、疼痛：</span><strong><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">老年主动脉夹层</span></strong><span style=\";font-family:宋体;line-height:200%;font-size:16px\">分离突然发生时多数患者突感胸部疼痛，向胸前及背部放射，随夹层涉及范围而可以延至腹部、下肢、壁及颈部。疼痛剧烈难以忍受，起病后即达高峰，呈刀割或撕裂样。少数起病缓慢者疼痛可以不著。</span></p><p style=\"margin-right: 0px; margin-left: 0px; text-indent: 32px; text-align: center; line-height: 200%;\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><img src=\"http://01luntan.com/ly_img/uimgs/1514177690276.jpg\" title=\"老年主动脉夹层分离的临床症状\" alt=\"老年主动脉夹层分离的临床症状\" width=\"600\" height=\"372\"/></span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">2、高血压：患者因剧痛而有休克外貌，焦虑不安、大汗淋漓、面色苍白、心率加速，但血压常不低或者增高，如外膜破裂出血则血压降低。不少患者原有高血压，起病后剧痛使血压更增高。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">3、心血管症状：①主动脉瓣关闭不全。夹层血肿涉及主动脉瓣环或影响心瓣-叶的支撑时发生，故可突然在主动脉瓣区出现舒张期吹风样杂音，脉压增宽，急性主动脉瓣返流可以引起心力衰竭。②脉搏改变，一般见于颈、肱或股动脉，一侧脉搏减弱或消失，反映主动脉的分支受压迫或内膜裂片堵塞其起源。③胸锁关节处出现搏动或在胸骨上窝可触到搏动性肿块。④可有心包摩擦音，夹层破裂入心包腔可引起心包堵塞。⑤胸腔积液，夹层破裂入胸膜腔内引起。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">4、神经症状：</span><strong><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">主动脉夹层</span></strong><span style=\";font-family:宋体;line-height:200%;font-size:16px\">延伸至主动脉分支颈动脉或肋间动脉，可造成脑或脊髓缺血，引起偏瘫、昏迷、神志模糊、截瘫、肢体麻木、反射异常、视力与大小便障碍。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">5、压迫症状：主动脉夹层压迫腹腔动脉、肠系膜动脉时可引起恶心、呕吐、腹胀、腹泻、黑粪等症状；压迫颈交感神经节引起霍纳综合征；压迫喉返神经致声嘶；压迫上腔静脉致上腔静脉综合征；累及肾动脉可有血尿、尿闭及肾缺血后血压增高。</span></p><p><br/></p>","barId":"2448","topicTypeId":"1","topicThemeId":"1026","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1139,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1514177048379,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1514177048379,"metaSearch":null,"rn":null},{"id":"7384","isDel":0,"createAt":1510376898736,"createBy":"e8f7486fbba411e7a3d800163e04584d","createName":"1516932689@qq.com","updateAt":1522311004289,"updateBy":"e8f7486fbba411e7a3d800163e04584d","updateName":"1516932689@qq.com","userId":"e8f7486fbba411e7a3d800163e04584d","title":"主动脉夹层是由什么引起的","content":"<p style=\"text-indent: 28px; padding: 0px; line-height: 200%; background: rgb(255, 255, 255); text-align: left;\"><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\"></span></span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">现在科学医疗技术不断提升，疾病的种类也不断增多，主动脉夹层这个疾病想必大家应该也听过，但是</span></span><strong><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">主动脉夹层是由什么引起的</span></span></strong><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">呢？我们就一起来了解一下。</span></span></p><p style=\"text-indent: 28px; padding: 0px; line-height: 200%; background: rgb(255, 255, 255); text-align: left;\"><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\"></span></span><br/></p><p style=\"text-indent: 28px; padding: 0px; line-height: 200%; background: rgb(255, 255, 255); text-align: center;\"><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\"><img src=\"http://01luntan.com/ly_img/uimgs/1510377683736.png\" title=\"主动脉夹层是由什么引起的\" alt=\"主动脉夹层是由什么引起的\" width=\"600\" height=\"372\"/></span></span></p><p style=\";text-indent: 28px;padding: 0;line-height: 200%;background: rgb(255, 255, 255)\"><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\"><br/></span></span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">目前</span></span><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">病因</span></span><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">还尚未明确</span></span><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">。</span>80%以上主动脉夹层的患者有高血压，不少患者有囊性中层坏死。高血压并非引起囊性中层坏死的原因，但可促进其发展。临床与动物实验发现，不是血压的高度而是血压波动的幅度，与主动脉夹层分裂相关。动物实验中，以山黧豆饲猪可以造成主动脉夹层，山黧豆中的β氨基丙腈作用于动脉的基质、中层的肌肉与弹性组织，使动脉脆弱。以氨基乙腈与去氧皮质酮饲鼠，也可造成主动脉夹层</span><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">；</span></span><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">饲料中缺铜使动物合成弹性硬蛋白障碍，也可产生类似结果。遗传性疾病马凡综合征中主动脉囊性中层坏死颇常见，发生主动脉夹层的机会也多，其他遗传性疾病如特纳</span>(Turner)综合征、埃-当(Ehlers-Danlos)综合征，也有发生主动脉夹层的趋向。主动脉夹层还易在妊娠期发生，其原因不明，猜想妊娠时内分泌变化使主动脉的结构发生改变而易于裂开。</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:0;padding:0 0 0 0 ;text-autospace:ideograph-numeric;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;color: rgb(86, 86, 86);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">　　正常成人的主动脉壁耐受压力颇强，使壁内裂开需</span>66.7kPa(500mmHg)以上。因此，造成夹层裂开的先决条件为动脉壁缺陷，尤其中层的缺陷。一般而言，在年长者以中层肌肉退行性变为主，年轻者则以弹性纤维的缺少为主。至于少数主动脉夹层无动脉内膜裂口者，则可能由于中层退行性变病灶内滋养血管的破裂引起壁内出血所致。合并存在动脉粥样硬化有助于主动脉夹层的发生。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:28px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;color: rgb(75, 75, 75);letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:28px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\"><span style=\"font-family:宋体\">找良医网温馨提示：以上就是关于</span></span><span style=\"font-family: 宋体;line-height: 200%;color: rgb(75, 75, 75);letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">主动脉夹层是由什么引起</span></span><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px;background: rgb(255, 255, 255)\"><span style=\"font-family:宋体\">的</span></span><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\"><span style=\"font-family:宋体\">介绍，希望能对大家有所帮助，希望各位定期做身体检查，如有身体不适请及时到医院就诊，早日查清病况及早治疗。最后，祝愿大家身体健康！</span></span></p><p style=\";text-indent: 28px;padding: 0;line-height: 200%;background: rgb(255, 255, 255)\"><br/></p>","barId":"2448","topicTypeId":"1","topicThemeId":"1026","readLevel":1,"files":"[]","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1124,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1510376898738,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1510376898738,"metaSearch":null,"rn":null}],"lyBar":{"id":"2448","isDel":0,"createAt":1483430519399,"createBy":"system","createName":"system","updateAt":0,"updateBy":null,"updateName":null,"userId":null,"name":"主动脉夹层","type":102,"twoCode":"http://zhao01.com/zly_img/zly_wx.jpg","image":null,"provinceId":null,"cityId":null,"illId":"739761a2bb5f11e6a61c00163e04584d","hospitalId":null,"keyWord":null,"totleTopic":0,"barDesc":null,"discussBarType":null,"metaSearch":"{\"channels\":{\"病友社区\":{\"description\":\"为病友提供:主动脉夹层论坛_病友交流平台_病友论坛，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"主动脉夹层论坛_病友交流平台_病友论坛\",\"title\":\"主动脉夹层论坛_病友交流平台_病友论坛\"},\"治疗\":{\"description\":\"为您提供:主动脉夹层怎么治疗_主动脉夹层的介入治疗_主动脉夹层保守治疗等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"主动脉夹层怎么治疗_主动脉夹层的介入治疗_主动脉夹层保守治疗\",\"title\":\"主动脉夹层怎么治疗_主动脉夹层的介入治疗_主动脉夹层保守治疗\"},\"症状\":{\"description\":\"为您提供:主动脉夹层破裂前征兆_主动脉夹层发病前症状_主动脉夹层什么症状等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"主动脉夹层破裂前征兆_主动脉夹层发病前症状_主动脉夹层什么症状\",\"title\":\"主动脉夹层破裂前征兆_主动脉夹层发病前症状_主动脉夹层什么症状\"},\"并发症\":{\"description\":\"为您提供:主动脉夹层术后并发症_主动脉夹层并发症_主动脉夹层的并发症等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"主动脉夹层术后并发症_主动脉夹层并发症_主动脉夹层的并发症\",\"title\":\"主动脉夹层术后并发症_主动脉夹层并发症_主动脉夹层的并发症\"},\"饮食\":{\"description\":\"为您提供:主动脉夹层的饮食_主动脉夹层手术后饮食_主动脉夹层不能吃什么等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"主动脉夹层的饮食_主动脉夹层手术后饮食_主动脉夹层不能吃什么\",\"title\":\"主动脉夹层的饮食_主动脉夹层手术后饮食_主动脉夹层不能吃什么\"},\"病因\":{\"description\":\"为您提供:主动脉夹层形成的原因_主动脉夹层是怎么得的_主动脉夹层怎么形成的等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"主动脉夹层形成的原因_主动脉夹层是怎么得的_主动脉夹层怎么形成的\",\"title\":\"主动脉夹层形成的原因_主动脉夹层是怎么得的_主动脉夹层怎么形成的\"},\"病友求助\":{\"description\":\"为您提供:主动脉夹层能治好吗_主动脉夹层能活几年?_动脉夹层手术成功率等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"主动脉夹层能治好吗_主动脉夹层能活几年?_动脉夹层手术成功率\",\"title\":\"主动脉夹层能治好吗_主动脉夹层能活几年?_动脉夹层手术成功率\"},\"预防\":{\"description\":\"为您提供:主动脉夹层要注意什么_怎么预防主动脉夹层_如何预防主动脉夹层等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"主动脉夹层要注意什么_怎么预防主动脉夹层_如何预防主动脉夹层\",\"title\":\"主动脉夹层要注意什么_怎么预防主动脉夹层_如何预防主动脉夹层\"}},\"description\":\"为您提供:主动脉夹层发病原因_主动脉夹层破裂有救吗_主动脉夹层术后寿命5年_动脉夹层病友的治疗经验等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"主动脉夹层发病原因_主动脉夹层破裂有救吗_主动脉夹层术后寿命5年\",\"title\":\"主动脉夹层发病原因_主动脉夹层破裂有救吗_主动脉夹层术后寿命5年\"}","adInfo":null},"zlyBar":{"id":"2448","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"name":null,"type":0,"twoCode":null,"image":null,"provinceId":null,"cityId":null,"illId":null,"hospitalId":null,"keyWord":null,"totleTopic":0,"barDesc":null,"discussBarType":null,"metaSearch":null,"adInfo":null},"herfList":[],"forumUserFocusBar":{"id":null,"isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"barId":null,"barName":null,"barType":0,"webType":0,"userType":0},"days":0,"dataCache":{"ad":[{"name":"","content":"","url":"www.baidu.com","img":"http://www.01luntan.com/ly_img/book-yl.jpg"},{"name":"","content":"","url":"www.baidu.com","img":"http://www.01luntan.com/ly_img/book-yl.jpg"}],"row0_01":[{"name":"","content":"","url":"https://www.zhao01.com/news/bbs/30258","img":"http://01luntan.com/ly_img/1702281952092.jpg"}],"row0_02":[{"name":"状腺疾病的临床诊治","content":"","url":"www.baidu.com","img":"http://img0.imgtn.bdimg.com/it/u=3069164470,1397462178&fm=206&gp=0.jpg"},{"name":"惊人病例：Infliximab 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