Previously, a 40-year-old man in Changsha, on the mainland, was hospitalized due to sudden, unbearable back pain. After being sent to the emergency room for an examination, he was diagnosed with severe cardiovascular disease with a mortality rate of as much as 90%: aortic aneurysm. Fortunately, the patient turned to medical care in time, and the emergency doctor was decisive and precise in the diagnosis at that moment, moreover the vascular surgeon intervened immediately and operated on the patient, so that the patient was avoided a unexpected death.
It was reported that at that time, the patient only told medical staff that he had severe low back pain and his mental performance was still good.At that time, most people would not have expected the patient to be so close to death. . As many as 50% of patients with this disease will experience symptoms within 48 hours of the onset of the disease.
After the patient entered the emergency room, the emergency room doctor asked about the patient’s condition and performed a physical examination at the same time, and found that there was no abdominal pain, denying the possibility that it was caused by kidney stones. At this time, the nurse reported that the blood pressure of the right upper extremity was 179/98 mmHg.The doctor immediately asked the nurse to measure the blood pressure of the left upper extremity and found that it was 149 / 103 mmHg Space is up to 30 mmHg.
Aortic dissection isn’t necessarily just pain in the heart and mouth.
fatal rupture of blood vessels
After the doctor’s reasonable suspicion, the patient was asked again about the location and extent of the pain.The patient said at that time that the back had actually started to feel pain, but it was not as severe as life. At this time, the doctor immediately thought that the patient might have an aortic dissection, because some of the symptoms of this disease are a markedly abnormal difference in blood pressure between the two arms, as well as chest pain, back pain, and so on. After completing a further CT scan, the results showed that the aorta had been dissected (type IIIb) and had been torn from the “descending thoracic aorta” to the “abdominal aorta”. The blood vessel ruptured at any time and caused massive bleeding, which was life threatening. The patient was immediately sent for vascular surgery, and his life was saved in time.
Patients with aortic dissection require immediate surgery.
What is aortic dissection?
Aortic dissection is a non-rare but fatal cardiovascular disease.According to rough statistics, about 5-30 in a million people suffer from aortic dissection every year. It usually occurs between the ages of 40 and 70, and some cases can develop around the age of 30 or in adolescence.
The mortality rate of aortic dissection is 90%.
Causes of aortic dissection
Aortic dissection is caused by rupture of the intima of the aortic wall and blood enters the medial layer of the arterial wall, forming a dissecting hematoma and gradually extending and stripping the intima and media of the aorta. Generally, the main characteristic symptom is sudden, severe, knife-like, tear-like pain.
Pay attention to the typical main symptoms
73% of patients experience sudden, intense, tearing pain in the chest and upper back that can extend to the neck or lower back. However, some patients will also show other symptoms such as other discomforts such as life, abdominal pain, etc. so its severity is often overlooked, or it is easy to be misdiagnosed or not perceived by doctors.
The intensity of the pain is very strong and within seconds it can evolve from no pain to a pain that has never been experienced. If you feel pain like “It has never been this bad,” pay attention to the aortic dissection.
6 easily neglected atypical symptoms
Depending on where the aortic dissection occurs, the organs affected vary and the following 6 main symptoms can occur:
1. Out of breath, the patient has difficulty breathing and breathing.
2. Abdominal pain, caused by the obstruction of the gastrointestinal blood flow.
3. Low back pain, caused by obstruction of blood flow to the kidneys.
4. Loss of consciousness, confusion, fainting, caused by obstruction of blood flow to the brain.
5. The pulse in one arm is very weak and the systolic blood pressure difference between the two arms is 30 mmHg or more.
6. Suddenly I cannot speak, I cannot see, half of my body is weak, just like the symptoms of a stroke, this is caused by the blockage of blood flow to the brain.
What are the high risk factors?
High risk factors for aortic dissection
1. You have high blood pressure and the condition is not well controlled.
2. Smoking, because smoking can lead to atherosclerosis, which severely damages the health of the blood vessel walls.
3. Suffers from inherited diseases, such as Marfan’s syndrome, which can cause medial ascending aortic defect, which is the high type of aortic dissection.
4. On cold days, when the temperature drops sharply, it is generally easier to get sick.
5. Traumatic factors, such as high intensity weight training, including weight lifting, etc.
Proper control of high blood pressure can prevent aortic dissection.
Smoking severely damages the health of blood vessel walls and is prone to aortic dissection.
Marfan syndrome is a genetic disorder that easily causes medial defects in the ascending aorta.
Aortic dissection is more likely to occur on cold days when the temperature drops sharply.
Aortic dissection can occur in trauma caused by weight lifting.
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