中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
16期
168-169,172
,共3页
大动脉炎%心绞痛%误诊
大動脈炎%心絞痛%誤診
대동맥염%심교통%오진
Takayasu arteritis%Angina pectoris%Misdiagnosis
大动脉炎是一种以损害人体中膜为主的全身性动脉炎症。该病因累及动脉部位不同,临床表现也复杂多变,极易造成误诊。本文报道1例2014年12月在本院就诊的大动脉炎患者,因起病症状、病情发作特点与心绞痛极其相似而误诊,追朔病史发现此病例多次误诊、致使病情迁延。本文通过对其分析,进一步阐述该病的临床特点及误诊原因,提醒医师对本病的认识,以便更好地服务于患者。
大動脈炎是一種以損害人體中膜為主的全身性動脈炎癥。該病因纍及動脈部位不同,臨床錶現也複雜多變,極易造成誤診。本文報道1例2014年12月在本院就診的大動脈炎患者,因起病癥狀、病情髮作特點與心絞痛極其相似而誤診,追朔病史髮現此病例多次誤診、緻使病情遷延。本文通過對其分析,進一步闡述該病的臨床特點及誤診原因,提醒醫師對本病的認識,以便更好地服務于患者。
대동맥염시일충이손해인체중막위주적전신성동맥염증。해병인루급동맥부위불동,림상표현야복잡다변,겁역조성오진。본문보도1례2014년12월재본원취진적대동맥염환자,인기병증상、병정발작특점여심교통겁기상사이오진,추삭병사발현차병례다차오진、치사병정천연。본문통과대기분석,진일보천술해병적림상특점급오진원인,제성의사대본병적인식,이편경호지복무우환자。
Takayasu arteritis refers to a general arterial inflammation mainly damaging tunica media.Due to different arterial parts involved in the disease,the clinical manifestations are also complicated and changeable,which easily lead to misdiagnosis.One patient diagnosed as Takayasu arteritis and visited our hospital in December 2014 was reported in the paper.Onset of symptoms and characteristics of disease attack were similar to those in angina pectoris and would be misdiagnosed.When asking past medical history,the patient was misdiagnosed for several times resulting in delay.Based on the analysis of disease conditions,the clinical characteristics and causes of misdiagnosis in the disease were further elaborated.Meanshile, awareness of the disease was reminded for other physicians in order to offer better services for patients.