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Painless Aortic Dissection with Initial Symptom of Right Upper Extremity Weakness: A Case Report

無痛性主動脈剝離以右上肢無力為表現-病歷報告

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摘要


胸主動脈剝離是一種危險的疾病,通常會產生有嚴重的胸痛或背痛,並有一些症狀是由於主動脈的分枝受到影響而產生。有時其會以不典型的症狀來表現。我們在這裡要報告一位病人,一開始是以突發的右上肢無力來到急診,一開始懷疑腦血管疾病安排腦部電腦斷層,之後又懷疑肢體動脈阻塞安排血管攝影,病患突然在急診失去生命跡象,最後胸部電腦斷層診斷出胸部主動脈剝離。

並列摘要


Thoracic aortic dissection is a dangerous disease. It usually presents as severe chest or back pain. Symptoms resulting from aortic branch involvement may also be involved. Sometimes, it presents with atypical symptoms. Here, we report a patient who came to the emergency department (ED) because of acute onset of right upper limb weakness and numbness. Brain computed tomography (CT) was performed initially because cerebral vascular disease was suspected. Subsequently, angiography was performed as artery occlusion of the limb was found. The patient suddenly collapsed in the ED. Stanford type A acute aortic dissection was found by chest CT.

並列關鍵字

aortic dissection painless paralysis thoracic aorta

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