作者：陈仕锋，欧焕珍，朱敏敏，卿斌，肖波，曾超

单位：

1.510318广东省广州市，中国人民解放军31661部队医院呼吸与危重症医学科 2.510318广东省广州市，中国人民解放军31661部队医院神经内科 通信作者：曾超，E-mail：zechary@163.com

Units：

1.Department of Respiratory and Critical Care Medicine, Hospital of PLA Unit 31661, Guangzhou 510318, China 2.Department of Neurology, Hospital of PLA Unit 31661, Guangzhou 510318, China Corresponding author: ZENG Chao, E-mail: zechary@163.com

关键词：

急性主动脉夹层; 肺栓塞; 抗凝治疗; 利伐沙班; 病例报告;

Keywords：

Acute aortic dissection; Pulmonary embolism; Anticoagulation therapy; Rivaroxaban; Case reports

CLC：

DOI：

10.12114/j.issn.1008-5971.2022.00.049

Funds：

广东省医学科学技术研究基金项目（A2021098）

摘要：

主动脉夹层、肺栓塞均是危及人们身体健康和生命的临床急症。急性主动脉夹层合并肺栓塞较少见，且目前国内外指南并无相关治疗建议，导致该类患者的临床治疗存在争议。本文报道了利伐沙班成功治疗1例急性主动脉夹层合并肺栓塞患者的诊治经过，以期为该类患者的诊疗提供参考。

Abstract：

【Abstract】 Aortic dissection and pulmonary embolism (PE) are medical emergencies that endanger people's health andlife. Acute aortic dissection (AAD) complicated with PE is rare, and there are no relevant treatment suggestions in domestic andforeign guidelines at present. Hence, the clinical treatment of these patients is controversial. In this paper, we present diagnosisand treatment process of a patient with AAD complicated with PE who was successfully treated by rivaroxaban, in order to providereference for the diagnosis and treatment of these patients.

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