[Thoracic aorta dissection a difficult diagnostic problem at home--case reports].
Aortal dissection is one of the most life threatening complications of hypertension. The sudden, strong chest pain is leading symptom of disease, that is also frequent cause to call emergency. The aim of the study was to present diagnostic difficulties in case of aortic aneurysm dissection during giving aid by rescue team at home.


RESULTS
There were described three evidence cases of aortic aneurysm dissection. The wide range of clinical symptoms as well as diagnostic difficulty in this state of threat of life was showed. The attention was turned on necessity of diagnostic procedures at hospital conditions. Chest computer tomography was performed to put proper diagnosis. The dramatic course and coincidence of other diseases makes it difficult for rescue team to introduce proper diagnosis and treatment at home. The introduced proceeding was limited to save transportation or required advanced live support before it.


CONCLUSIONS
The recognition of aortic dissection is a very difficult task for emergency physician at scene. Patients, that present symptoms of acute dissection of thoracic aorta, should have quickly diagnosis and treatment at cardiology department.
Januszewski
Juliusz
J
Emergency Department City of Lódź, Poland. juljan1@gazeta.pl
D000368:Aged; D000553:Ambulatory Care / Q000379:methods*; D000784:Aortic Dissection / Q000175:diagnosis*; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis*; D004630:Emergencies; D005260:Female; D006699:Home Care Services; D006801:Humans; D008297:Male; D008875:Middle Aged