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2014, vol. 14, iss. 1, pp. 52-58
Aortic dissection: Can we prevent CPR and give the others a chance life
Gradski zavod za hitnu medicinsku pomoć, Beograd

emailvesnapopratina@yahoo.com
Abstract
INTRODUCTION: Aortic dissection is one of the most pressing state and as such is a sea of all doctors involved in emergency medicine . Mortality is high even in a timely diagnosis. Since the present varied symptoms diagnosis is difficult. If treated as ACS , which usually happens directly affect the poor prognosis . The survival rate of patients with dissection of type A and B ( type III ) is very low . Twenty-four hour survival 21 % of patients who were younger than forty years . In a study that lasted 27 years , mortality was 68 % for 48 hours . THE AIM is to point out that a number of measures and activities , as well as quick and accurate diagnosis , emergency transport to the hospital , appropriate therapy , we can stop CPR and give a new chance for life. MATERIALS AND METHODS: The material we use as a display case in a patient who is suspected in the field of thoracoabdominal aortic dissection . On the same day MSCT aortoarteriography seen the entire aortic dissection of the eyeball through the branches , with the expansion of both iliac arteries . The patient was successfully operated on the same day , and after ten days out of the hospital completely recovered . CONCLUSION : One of the most important factors in the diagnosis of aortic dissection must be a high degree of clinical suspicion . As emergency physicians , we often protagonists of successful or unsuccessful CPR , but we are especially proud of this case because I really believe that the patient's life was saved because the CPR prevented the rapid and accurate diagnosis , did not receive the therapy is contraindicated , and cooperation with other colleagues at the clinic was professional.

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article language: Serbian
document type: Original Paper
published in SCIndeks: 11/05/2015

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