【#第一文档网# 导语】以下是®第一文档网的小编为您整理的《儿童多发性大动脉炎58例临床特点分析》，欢迎阅读！
儿童多发性大动脉炎58例临床特点分析 张永兰;杜忠东;付培培 【期刊名称】《中国医刊》 【年(卷),期】2013(048)007 【摘 要】Objective To analyze the clinical character and therapeutic effect of Takayasu' s arteritis. Method Retrospective data of 58 children with Takayasu' s arteritis were analyzed. Their clinical manifestation, laboratory test, imaging tests, treatment and prognosis were summarized. Result The age of children varied from 3 years to 16 years and 24 children were male while 34 female. Hypertension, vascular bruits, and acrotism or pulseless were the common symptoms. The active indices of inflammation were increased, such as ESR and CRP. Forty-six children were treated with steroids and/or immunosuppressives, with an effective rate of 55. 2%. None children died during hospitaliza-tion. Conclusion Principal clinical manifestation of Takayasu' s arteritis are hypertension, vascular bruits and acrotism or pulseless. Children with hypertension should be given comprehensive examination to rule out Takayasu' s arteritis , especially examination of pulse and blood pressure of arms and legs and listen to artery.%目的 分析儿童多发性大动脉炎的临床特点及治疗转归,防止误诊漏诊.方法 对58例多发性大动脉炎患儿的临床表现、实验室及影像学检查、治疗转归进行回顾性分析.结果 58例中男24例,女34例;年龄3～16岁.常见症状为高血压、血管杂音、无脉或脉弱.炎症活动指标为血沉增快、C反应蛋白升高.46例接受激素和(或)免疫抑制剂治疗,有效率55.2%,住院期间无死亡.结论 儿童多发性大动脉炎以高血压、血管杂音、无脉或脉弱为主要临床表现,对于高血压的儿童应注意四肢脉搏及血管杂音检查,测量四肢血压,注意大动脉炎的可能,防止误诊漏诊. 【总页数】3页(P40-42) 【作 者】张永兰;杜忠东;付培培 【作者单位】首都医科大学附属北京儿童医院,心内科,北京,100045;首都医科大学附属北京儿童医院,心内科,北京,100045;首都医科大学附属北京儿童医院,心内科,北京,100045 【正文语种】中 文 【中图分类】R5 【相关文献】 1.79例新疆维吾尔族多发性大动脉炎的临床特点分析 [J], 王凌鹏;罗健;古丽巴哈尔;王勇;马青平;张源明 2.儿童多发性大动脉炎合并心功能不全5例病例系列报告 [J], 王新宁; 李建国; 苏改秀; 赖建铭; 康闽; 周志轩 3.超声检查对儿童颈部多发性大动脉炎活动性评价的应用价值 [J], 张亚茹;霍亚玲;刘杨 4.儿童多发性大动脉炎10例临床分析 [J], 邱灵芝;郭翼红;马慧慧;黄娜;樊志丹;马乐;俞海国 5.超声检查对儿童颈部多发性大动脉炎活动性评价的应用价值 [J], 张亚茹;霍亚玲;刘杨 因版权原因，仅展示原文概要，查看原文内容请购买 本文来源：https://www.dywdw.cn/e825ed59084e767f5acfa1c7aa00b52acfc79ce9.html
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2022-12-05
