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儿童多发性大动脉炎虽较成人为少,但并非罕见,常易忽略其临床特征而不能及时诊出。本文报告近3年(1981—1983)来,我们收治6例的临床资料,并就其诊断问题简要讨论。临床资料一般情况本组男性2例,女性4例,年龄5—11岁。起病缓急及病程1例以急性视力下降就诊,余均为慢性起病。从出现症状至确诊为18天至2年不等,半数患儿病程在半年以上。确诊前3例诊为肺结核病,其余诊为缺血性视乳头病、发作性头痛及风湿性心肌病各1例。
Although children with MCA are fewer than adults, they are not uncommon and often overlook their clinical features and can not be diagnosed in time. This article reports the past three years (1981-1983), we admitted 6 cases of clinical data, and its diagnosis of a brief discussion. Clinical data General This group of 2 males and 4 females, aged 5-11 years. 1 case of acute onset and course of disease with acute visual decline, more than I are chronic onset. From the onset of symptoms to a diagnosis of 18 days to 2 years, half of the disease duration in more than six months. The diagnosis of the first three cases diagnosed as pulmonary tuberculosis, the remaining diagnosed as ischemic optic disc disease, episodic headache and rheumatic cardiomyopathy in 1 case.