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我院1980年10月～1987年10月收治多发性大动脉炎82例,早期误诊32例,误诊率39%,误诊时间20天～8年。误诊病种:初发症状以发热、肌肉关节疼痛为主,误诊为上感、风湿热、类风湿性关节炎8例。以头痛、头晕、血压升高为主,误诊为原发性高血压病13例。心悸、气短心功不全为主症,误诊为心脏病4例。突然失语、口眼歪斜、偏瘫为首发症状误诊为脑血管疾病4例。误诊为视神经萎缩、病毒性脑炎、冠心病心肌梗塞各1例。典型病例例1:女,28岁。感冒后头晕、头痛、恶心、呕吐、视力模糊。半月后出现心悸、气短、一过性晕厥,右上肢血压230/150,左上肢200/130,双下肢血压均高,视网膜出血渗出,颈部、腹部未闻及血管杂音,诊
Our hospital from October 1980 to October 1987 admitted to 82 cases of multiple aortitis, 32 cases of early misdiagnosis, misdiagnosis rate of 39%, misdiagnosis time of 20 days to 8 years. Misdiagnosis: initial symptoms of fever, muscle and joint pain, misdiagnosed as a sense of flu, rheumatic fever, rheumatoid arthritis in 8 cases. To headache, dizziness, high blood pressure, misdiagnosed as 13 cases of essential hypertension. Heart palpitations, shortness of breath, heart failure mainly syndrome, misdiagnosed as heart disease in 4 cases. Suddenly aphasia, Kouyanwaixie, hemiplegia misdiagnosed as the first symptom of cerebrovascular disease in 4 cases. Misdiagnosed as optic atrophy, viral encephalitis, coronary heart disease in 1 case of myocardial infarction. Typical Case Example 1: Female, 28 years old. After a cold dizziness, headache, nausea, vomiting, blurred vision. Half a month after the heart palpitations, shortness of breath, transient syncope, right upper limb blood pressure 230/150, left upper limb 200/130, both lower extremity blood pressure, retinal hemorrhage exudation, neck, abdomen, no smell and vascular murmur