论文部分内容阅读
目的总结分析系统性血管炎合并肠梗阻病例的临床特点,以提高对该疾病的认识。方法回顾总结12例系统性血管炎合并肠梗阻病例的临床资料,分析其临床特点。结果12例患者中,白塞病8例,变应性肉芽肿血管炎1例,巨细胞动脉炎1例,未分类2例,男性8例,女性4例,中位年龄44岁。9例患者在病程中并发肠梗阻,多为慢性不全肠梗阻。其中3例以肠梗阻表现为首发症状,均表现为急性完全性肠梗阻。所有病例血沉均升高,自身抗体中抗核抗体阳性1例,抗中性粒细胞胞浆抗体-核周型(pANCA)阳性1例。结论肠梗阻可以为系统性血管炎的首发症状或并发表现,应重视该疾病,避免不必要的外科手术。
Objective To summarize and analyze the clinical features of patients with systemic vasculitis and intestinal obstruction in order to improve the understanding of the disease. Methods The clinical data of 12 patients with systemic vasculitis and intestinal obstruction were reviewed and analyzed. The clinical features were analyzed. Results Of the 12 patients, 8 were Behcet’s disease, 1 was allergic granulomatous vasculitis, and 1 was giant cell arteritis. There were 2 unclassified cases, 8 males and 4 females, with a median age of 44 years. Nine patients with intestinal obstruction in the course of the disease, mostly chronic intestinal obstruction. Among them, 3 cases showed intestinal obstruction as the first symptom, all showed acute complete intestinal obstruction. All cases were elevated erythrocyte sedimentation rate, anti-nuclear antibodies in autoantibodies in 1 cases, anti-neutrophil cytoplasmic antibody - perinuclear type (pANCA) positive in 1 case. Conclusion Intestinal obstruction can be the first symptom of systemic vasculitis or concurrent manifestations, the disease should be emphasized, to avoid unnecessary surgery.