大动脉炎的血管造影诊断(附9例报告)

Angiographic Diagnosis of Aorto arteritis (A Report of 9 Gases)

本文报道9例大动脉炎,所有病例均经血管造影证实。本病多见于青壮年,临床表现主要为继发性高血压以及其它多样不适。血管造影所见可概括为:(1)主动脉及其主支狭窄或闭塞;(2)主动脉及其主支扩张或形成动脉瘤;(3)位于胸或腹主动脉的病变边缘不规则,且范围较长,而肾动脉病变常较光滑而局限。最后,作者对诊断标准进行了讨论。

Nine cases of aorto-arteritis were reported. The diagnosis was confirmed by angiography. Young adults are predominantly involved. The main clinical symptoms are secondary hypertension and other various dis orders. The angiographic manifestations could be classified as follows: (1) Narrowing or obstruction of aorta and its mainbranches; (2) Dilatation or aneurysmal formation of aorta and its main branches; (3) The involved area of the thoracic and/or abdominal aorta are usually irregular and longer, whereas the renal arteries are short and smooth. The diagnostic criteria of aorto-arteritis were discussed.