- 期刊
Aortic Dissection in Pregnancy
懷孕婦女的主動脈剝離
並列摘要
Aortic dissection is a relatively rare but serious disease. Herein, we report a case of type A aortic dissection in a 41-year-old female patient at 34 weeks of gestation. The woman visited our emergency department due to severe, sudden-onset and persistent chest pain radiating to her back. The physical examination was normal except for hypertension and absence of left-side dorsalis pedis artery pulse. Electrocardiography and cardiac enzyme levels were both normal. Computed tomography revealed aortic dissection from the ascending aorta to the low abdominal aorta. An emergency caesarean section was arranged, followed by ascending aortic reconstruction and aortic valve resuspension. Unfortunately, the patient expired 10 days after surgery due to bowel ischemia. If a pregnant woman arrives at an emergency department with high blood pressure, preeclampsia is usually the first concern. However, if she also complains of chest pain radiating to her back, the possibility of aortic dissection should also be considered, and emergency surgery should not be delayed if the diagnosis is established.
延伸閱讀
- 林禹宏、周松男（1993）。懷孕中的子宮肌瘤切除。當代醫學，(231)，57-59。https://doi.org/10.29941/MT.199301.0018
- 李耀泰、郭宗正、陳福民（2006）。胎盤早期剝離。當代醫學，(391)，387-391。https://doi.org/10.29941/MT.200605.0008
- Wu, S. J., Li, J. Y., Hu, P. Y., Chien, C. Y., & Sun, S. (2005). 主動脈剝離：單一醫院的手術治療結果. Formosan Journal of Surgery, 38(3), 110-118. https://doi.org/10.29833/FJS.200506.0002
- 張寶源、李燕鳴（2020）。急性主動脈剝離。家庭醫學與基層醫療，35(4)，95-100。https://www.airitilibrary.com/Article/Detail?DocID=P20090727001-202004-202004290016-202004290016-95-100
- 張忠毅（2009）。心血管急症：主動脈剝離。健康世界，(281)，40-44。https://doi.org/10.6454/HW.200905.0040