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蔡青*,邵壮,全振涛,高洁.加强炎性动脉瘤的认识与鉴别[J].Academic Journal of Second Military Medical University ,2021,42(9):961-966
加强炎性动脉瘤的认识与鉴别    点此下载全文 Fulltext
蔡青*  邵壮  全振涛  高洁
海军军医大学(第二军医大学)
长海医院风湿免疫科, 上海 200433
*通信作者
基金项目:上海市科学技术委员会自然科学基金(21ZR1478900).
DOI:10.16781/j.0258-879x.2021.09.0961
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摘要:
      炎性动脉瘤是指一类与动脉炎症疾病相关的动脉瘤,多由风湿免疫性疾病所致。炎性动脉瘤发生率低,症状隐匿,治疗方法与动脉粥样硬化及创伤等导致的动脉瘤迥异,故病因诊断和鉴别诊断尤为重要。临床遇到年轻的动脉瘤患者伴发热、贫血、乏力、体重下降等非特异性表现及临床炎性指标如红细胞沉降率、CRP等增高时,应高度警惕炎性动脉瘤可能。本文系统介绍了风湿免疫性疾病并发炎性动脉瘤的概念和发病情况,以备临床医师查阅、参考。
关键词:动脉瘤  炎性动脉瘤  系统性血管炎  Takayasu动脉炎  贝赫切特综合征
Strengthen understanding and differentiation of inflammatory aneurysms    Fulltext
CAI Qing*  SHAO Zhuang  QUAN Zhen-tao  GAO Jie
Department of Rheumatology and Immunology, Changhai Hospital, Naval Medical University (Second Military Medical University)
, Shanghai 200433, China
*Corresponding author
Fund Project:Supported by Natural Science Foundation of Science and Technology Commission of Shanghai Municipality (21ZR1478900).
Abstract:
      Inflammatory aneurysms are related to arterial inflammation, and are mainly caused by rheumatic immune diseases. The etiological and differential diagnoses of inflammatory aneurysms are particularly important due to its low incidence, hidden manifestations and different treatment methods from aneurysms caused by atherosclerosis and trauma. Young patients with aneurysms have nonspecific manifestations (such as fever, anemia, fatigue, weight loss) and increased clinical inflammatory indexes (such as erythrocyte sedimentation rate and C reactive protein) should be considered to have high possibility of inflammatory aneurysms. This paper introduces the concept and incidence of rheumatic immune diseases complicated with inflammatory aneurysms, hoping to provide reference for clinicians.
Keywords:aneurysm  inflammatory aneurysm  systemic vasculitis  Takayasu arteritis  Behçet syndrome
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