摘要
目的探讨大动脉炎合并脑梗死患者的临床特点和治疗情况。方法回顾性分析1998-2003年在我院住院的14例大动脉炎合并脑梗死患者的临床资料。结果大动脉炎合并脑梗死患者占同期住院的大动脉炎患者10.6%(14/132),出现脑梗死距大动脉炎首发症状时间为1个月～15年。14例均为3支以上主动脉弓上分支动脉狭窄或闭塞并表现为偏瘫,经CT证实有脑梗死,梗死部位最多见于基底节区。激素、细胞毒药物等治疗有效。结论大动脉炎合并脑梗死动脉病变范围广泛,临床上要予以重视,避免误诊,治疗的关键是控制原发病。
Objective To study the clinical features and treatment of the patients with Takayasu's arteritis (TA) with cerebral infarction.Methods Retrospective analysis was done in 14 TA patients with cerebral infarction from 1998 to 2003.Results The patients with TA complicated with cerebral infarction accounted for 10.6%(14/132) of all the hospitalized patients with TA.The time from cerebral infarction to the symptom onset of TA was 1 month to 15 years.In all the cases,there were more than 3 branches stenosis or occlusion of aortic arch and hemiparalysis.Basal ganglion was the most frequently involved infarction area.Corticosteroid and cytotoxic drugs were effective therapy.Conclusion The cases of TA with cerebral infarction have extensive arterial lesions.We must pay attention to it to avoid misdiagnosis.The key point of treatment is to control the primary disease.
出处
《中华风湿病学杂志》
CAS
CSCD
2004年第5期305-306,共2页
Chinese Journal of Rheumatology
