Dissecting aortic aneurysm

Symptoms of exfoliating aortic aneurysm can be varied. Dissecting aortic aneurysm can occur in patients with arterial hypertension, transplanted angiosurgical operations, Marfan syndrome and other hereditary connective tissue diseases.

For exfoliating aortic aneurysm, severe pain in the chest or abdomen, shock symptoms, abdominal palpation can be identified pulsating elastic tumor, the pulse on the arteries of the lower extremities may be absent. Arterial pressure on the arms and legs is different.

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Emergency care for exfoliating aortic aneurysm

Stop pain syndrome by administering a 1-2% solution of trimeridine (0.1 ml per year of life) or 1% morphine solution (0.15 mg / kg) over the age of 2 years. Ketamine in a dose of 0.5-2 μg intravenously or 2-6 mg / kg intramuscularly. To stop psychomotor excitation, it is necessary to administer diazepam in a dose of 0.25-0.5 mg / kg intravenously. Then, infusion therapy of developing hypovolemic shock is performed. 0.9% solution of sodium chloride, 5-10% dextrose solution, Ringer's solution is administered at a rate of 10 ml / (kghh) and under control of arterial pressure, polyglucinin]. In recent years, a ganglion blocker for short-acting arfonad is considered to be the drug of choice for the dissecting aortic aneurysm, which is administered intravenously drip as a 0.01% solution (50 mg of the preparation in 500 ml of 0.9% sodium chloride solution) at an initial rate of 1 mg / min with a gradual its increase every 3-5 minutes until the desired effect is reached (the highest rate is 15 mg / min).

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