HEGGTVEIT H A
Can Med Assoc J. 1965 Apr 17;92(16):880-1.
Twenty-six cases of syphilitic aortitis were found among 4173 autopsies performed at the Ottawa General Hospital since 1950. Although 10 aortic aneurysms, nine instances of coronary ostial stenosis and five examples of aortic incompetence were present in 20 cases, a clinical diagnosis of syphilitic aortitis had been established in only two patients. It is paradoxical that the clinical diagnosis of syphilitic aortitis is becoming less accurate as surgical techniques for the correction of its complications are being constantly improved.
自1950年以来,在渥太华综合医院进行的4173例尸检中发现了26例梅毒性主动脉炎。虽然20例患者中存在10个主动脉瘤、9例冠状动脉口狭窄和5例主动脉瓣关闭不全,但只有两名患者确诊为梅毒性主动脉炎。矛盾的是,随着治疗梅毒性主动脉炎并发症的外科技术不断改进,其临床诊断却越来越不准确。