摘要
该文报告了自发性腹腔干动脉夹层延误诊治1例。患者因"突发胸痛伴呼吸困难半天"入院,腹部CT及超声检查均未发现异常,考虑为消化性溃疡,仅给予严密观察和对症治疗。观察期间,患者剧烈腹痛,发生腹腔出血并失血性休克,急诊行脾切除+胰尾修补术。术后CT血管造影检查提示腹腔干、肝固有动脉、左肾动脉起始部夹层动脉瘤,患者休克的原因为脾动脉夹层破裂。
引文
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