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大动脉炎又称主动脉弓综合征或无脉症,是多种原因造成的主动脉及其分支的狭窄或阻塞而引起的临床综合征。现将我院近2年来收治的3例报告如下: 临床资料【例1】高××,女,18岁。因发作性视物不清2年,发作性意识丧失伴抽搐1年而入院。患者于入院前2年开始出现发作性视物不清,伴有眼部疼痛感,数分钟后自行缓解。以后常有类似发作。入院前1年某日晨起,在低头视物过程中,突然晕倒、意识丧失,四肢抽搐、口吐白沫、尿失禁,持续5分钟后缓解。其后1年中约有10余次类似发作。在当地医院诊为癫病,口服抗癫病药(具体药名不详)。并拍胸片确诊为浸润性肺结核,口服雷米封、对氨基水杨酸,肌注链霉素,半年后胸部X光透视复查(未拍胸片)诊断为“肺结核痊愈”而停用抗结核药物。但发作性视物不清及抽搐均未能控制,于1984年3月1日收入院。入院时查体:神清,合作,一般状态好。双侧肱、桡动脉
Arteriitis, also known as aortic arch syndrome or no pulse, is caused by a variety of causes of the aorta and its branches of the narrow or obstruction caused by clinical syndrome. Now in our hospital for nearly 2 years, 3 cases were reported as follows: Clinical data [Example 1] high × ×, female, 18 years old. 2 years due to episodes of apparent blurred vision, episodes of loss of consciousness with convulsions 1 year and admitted to hospital. Patients 2 years before admission onset of episodic apparent blurred vision, accompanied by eye pain, relieve itself after a few minutes. After a similar attack. One day prior to admission, a sudden fainting, loss of consciousness, convulsions in the limbs, foaming at the mouth and urinary incontinence were alleviated in the morning after one day early in the morning. In the following year about 10 times a similar attack. In the local hospital diagnosed epilepsy, oral anti-epileptic drug (specific drug name unknown). And chest X-ray confirmed infiltrative pulmonary tuberculosis, oral Remy pack, p-aminosalicylic acid, intramuscular injection of streptomycin, chest X-ray examination six months later (did not take the chest radiograph) diagnosed as “tuberculosis cured” and disable the anti Tuberculosis drugs. However, episodic apparent blurred vision and convulsions were uncontrollable, on March 1, 1984 income court. Admission examination: Shenqing, cooperation, the general state is good. Bilateral brachial and radial artery