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大动脉炎是一种大动脉及主动脉弓的慢性进行性炎症,当血管内膜炎导致胸出口部位或锁骨下动脉闭塞或狭窄时,会引起无脉症的发生。如病变影响到颈总动脉会造成颈内动脉供血不足而引起眼部缺血性改变。现将我院血管科1例大动脉炎(头臂型)患者晚期眼底改变报告如下。患者女性31岁住院号27879 9个月前发现双上肢乏力麻木,频发晕厥,双眼视力下降及经常出现一过性黑矇,7个月前发现双上肢无脉。患者18岁时曾患过风湿性关节炎,家族无类似疾病史。血管科检查:测不出双上肢血压,右侧颈动脉可闻及Ⅱ级收缩期吹风样血管杂音,股动脉末闻及枪击音,劲动脉搏动强度右侧大于左侧,主动脉弓及复主动脉
Arteritis is a chronic progressive inflammation of the aorta and aortic arch that can cause pulseless disease when endocarditis results in an occlusion or stenosis of the thoracic outlet or subclavian artery. If the lesions affect the common carotid artery will cause insufficient blood supply to the internal carotid artery caused by ischemic changes. A hospital now vascular Department of Arteritis (armpit type) patients with advanced fundus changes reported below. Patient Female 31 years old Hospitalization number 27879 9 months ago found that upper extremity weakness and numbness, frequent syncope, binocular vision loss and often appear transient amaurosis, 7 months ago found no upper extremity pulse. The patient had rheumatoid arthritis at the age of 18, and the family had no history of similar diseases. Vascular examination: Can not be measured double upper extremity blood pressure, the right carotid artery can be heard and Ⅱ grade systolic hair-flow vocal murmur, femoral artery smell and shot sound, pulsatile pulsatile strength right than the left, aortic arch and the aorta