摘要
目的:总结颞动脉炎的神经系统临床特征。方法:对诊断为颞动脉炎的24例患者进行回顾性分析,根据临床表现、颞动脉活检、糖皮质激素治疗效果作为诊断标准,以1990年美国风湿病学会(ACR)制定的颞动脉炎诊断标准作为参考。结果:24例患者被诊断为颞动脉炎,8例经颞动脉活检证实7例。其中,头痛为主要症状,本组24例中有22例(91.7%);视力障碍及眼痛较常见,本组有3例(12.5%),其中有1例失明;低至中度发热10例(41.7%),体温37.2～39℃;合并肌炎6例;颞动脉均增粗,呈条索状,搏动减弱。经糖皮质激素治疗后其症状或体征常在数小时至数天消失。结论:颞动脉炎的神经系统症状与体征较为常见,可见严重的并发症,早期诊断及治疗可得到有效控制。
Objective：To explore temporal arteritis clinical characteristics of the nervous system. Methods：24 patients with temporal arteritis were retrospectively analyzed, clinical manifestations, temporal artery biopsy and steroid hormone treatment as a diagnostic criterion, temporal arteritis diag nostic criteria developed by the American College of Rheumatology （ACR） in 1990 as a reference. Results：24 patients were diagnosed with temporal arteriffs ,7 cases confirmed by temporal artery biopsy. The main clinical manifestations included headache in 22 cases （91.7%） ,vision disturbance in 3 cases （ 12.5% ）, and low fever in 10 cases （41.7%）. 6 cases complicated with polymyalgla rbeumatica. The temporal arteries were thickened, beating weakened, Early steroid hormone treatment showed good effect. Conclusion：Nervous system symptoms and signs of temporal arteritis is more common,have visible serious complications,through the early diagnosis and treatment can be effectively controlled.
出处
《中国民康医学》
2012年第8期903-904,共2页
Medical Journal of Chinese People’s Health
关键词
颞动脉炎
临床表现
Temporal arteritis
Clinical manifestations
