Acute Thoracic Aortic Dissection Presenting as Sore Throat

胸主動脈剝離以喉嚨痛表現

劉文斌(Wen-Pin Liu) ； 黃正金(Jheng-Jing Hung) ； 黃金財(Kim-Choy Ng)

《Mid-Taiwan Journal of Medicine》 9卷4期 (2004/12) Pp. 244-248

https://doi.org/10.6558/MTJM.2004.9(4).8

摘要

主動脈剝離是心血管急症之一，通常是突然發作並且迅速惡化。早期診斷與適切的治療對此病的預後非常重要。並非所有主動脈剝離的病患均具有典型的症狀，如：突然的胸痛、背痛或是腹痛，有可能因症狀不典型而被誤診或延遲診療。主動脈剝離以喉嚨痛爲最初表現的症狀是非常罕見。本文報告一位53歲男性罹患主動脈剝離的案例。此患者最初以喉嚨痛的症狀表現，因爲診斷延遲造成死亡。由於延誤治療會導致高死亡率，當病人患有喉嚨痛並且無明顯的頸部或喉部異常發現時，儘管無典型的症狀，主動脈剝離仍需要列爲鑑別診斷。

關鍵字

主動脈剝離 ； 喉嚨痛 ； 胸主動脈剝離

並列摘要

Acute dissection of the aorta is one of the most dramatic of cardiovascular emergencies. Its symptoms can occur abruptly and progress rapidly. Prompt recognition and appropriate intervention is crucial. However, not all aortic dissections present with classic symptoms of abrupt chest, back, or abdominal pain, and therefore the condition may be misdiagnosed. Aortic dissection presenting as a sore throat is quite unusual. A 53-year-old man presented with sore throat as the early symptom of an acute thoracic aortic dissection. Unfortunately, the diagnosis was not made in time and the patient died. Given the high morbidity and mortality associated with acute dissection if it is misdiagnosed, aortic dissection should be considered a differential diagnosis if a patient presents with sore throat and normal neck and throat findings, even when there are no classic symptoms.

並列關鍵字

aortic dissection ； sore throat ； thoracic aortic dissection