CAJ | 학술논문

目的通过对小血管炎引起的严重心肌受累病例的分析提高对本病的认识.方法总结北京协和医院近12年共10例小血管炎心肌受累病例临床资料及预后.结果小血管炎心肌受累主要表现心肌收缩功能受损,心脏超声检查可早期诊断并监测病情,糖皮质激素治疗可改善心功能.结论小血管炎心肌受累仍属罕见病,早期诊断、及时治疗可以改善症状和预后.
목적 통과대소혈관염인기적엄중심기수루병례적분석제고대본병적인식.방법 총결북경협화의원근12년공10례소혈관염심기수루병례림상자료급예후.결과 소혈관염심기수루주요표현심기수축공능수손,심장초성검사가조기진단병감측병정,당피질격소치료가개선심공능.결론 소혈관염심기수루잉속한견병,조기진단、급시치료가이개선증상화예후.
Objective This study was designed to investigate the clinical characteristics of systemic vasculitis with cardiac involvement.Methods Clinical information of 10 patients with systemic vasculitis complicated by myocardial vasculitis,selected from 181 small vessel vasculitis patients and 114 systemic vasculitis patients were analyzed.Results The clinical manifestations were varied significantly dependent on the etiology of small vessel vasculitis.It is usually djfficult to make the diagnosis because of the insidious onset,varied etiology and the undifferentiated manifestations of heart involvement.Echocardiography is commonly used in detecting and monitoring cardiac involvement.Glueocortieoid therapy can improve left ventricular systolic function dramatically when used properly.Conclusions The cardiac involvement of systemic vasculitis is quite rare.Dyspnea of various degrees and left ventricular systolic dysfunction ale the most common clinical findings.The earlier the establishment of diagnosis and institution of appopriate treatment,the better the prognosis.