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目的探讨大动脉炎合并脑梗死患者的临床特点和治疗情况。方法回顾性分析1998-2003年在我院住院的14例大动脉炎合并脑梗死患者的临床资料。结果大动脉炎合并脑梗死患者占同期住院的大动脉炎患者10.6%(14/132),出现脑梗死距大动脉炎首发症状时间为1个月～15年。14例均为3支以上主动脉弓上分支动脉狭窄或闭塞并表现为偏瘫,经CT证实有脑梗死,梗死部位最多见于基底节区。激素、细胞毒药物等治疗有效。结论大动脉炎合并脑梗死动脉病变范围广泛,临床上要予以重视,避免误诊,治疗的关键是控制原发病。
Objective To investigate the clinical features and treatment of patients with arteritis complicated with cerebral infarction. Methods The clinical data of 14 patients with aorto-arterial infarction who were hospitalized in our hospital from 1998 to 2003 were analyzed retrospectively. Results In patients with aortic arteritis and cerebral infarction, 10.6% (14/132) of patients with aortitis were hospitalized in the same period. The first symptom of acute arteritis with cerebral infarction was 1 month to 15 years. 14 cases were more than 3 on the aortic arch artery stenosis or occlusion and showed hemiplegia, CT confirmed by cerebral infarction, infarction most found in the basal ganglia. Hormone, cytotoxic drugs such as treatment effective. Conclusion Arteriitis complicated with cerebral infarction has a wide range of arterial disease. It should be paid attention to in clinical practice to avoid misdiagnosis. The key to treatment is to control the primary disease.