9例多发性大动脉炎回顾性临床分析

Retrospective study of 9 patients with Takayasu's arteritis

目的:探讨多发性大动脉炎的临床特点。方法:对我院2002年1月至2008年9月间9例多发性大动脉炎患者临床特点进行回顾性分析。结果:9例患者平均发病年龄为(37.4±19.2)岁,40岁以下者占77.8%;受累血管阳性率最多的前三位是颈总动脉(66.7%)、锁骨下动脉(44.5%)、脑血管及上肢血管(33.3%)。血压异常(77.8%)、血管杂音(66.7%)、无脉或脉弱(55.6%)为其常见临床表现;血管B超和64排CT血管成像具有诊断意义。结论:多发性大动脉炎是一种涉及自身免疫因素的大血管的非特异性炎症,其临床表现复杂多样。

Objective： To investigate the clinical characteristic of Takayasu＇s arteritis （TA）. Methods： The clinical features of 9 TA patients were followed retrospectively studied. Results： The mean age of 9 patients was （37.4 ± 19.2） gears, 77.8%o of patients were below 40 years old. The first to third common involved vascular were common carotid artery （66.7%）, subclavicular artery （44.5%）, brain artery and arm artery （positive ratio 33.3%）. Vascular bruit, abnormal blood pressure and pulseless were present in 66.7%, 77.8%, 55.6%. B type ultrasonic and Multi--slice Spiral CT （MSCT） had significant value in diagnosing of TA. Conclusion： Takayasu＇s arteritis （TA） is a chronic granulomatous inflammatory arteriopathy. The clinical features of TA are various.