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[重度肺动脉高压与高安动脉炎]

[Severe pulmonary hypertension and Takayasu arteritis].

作者信息

Garcia-Olivé Ignasi, Prats Bardají Maria Sol, Calvo Pascual Susana, Sánchez Berenguer Dan, Valverde Forcada Eduard, Ruiz-Manzano Joan

机构信息

Servei de Pneumologia, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain.

出版信息

Arch Bronconeumol. 2008 Mar;44(3):170-2. doi: 10.1016/s1579-2129(08)60032-4.

Abstract

Takayasu arteritis is an inflammatory disease that affects large vessels, especially the aorta and its branches. The clinical features of the disease depend on which arteries are affected. Although pulmonary artery involvement is common, only rarely is this the main clinical manifestation. We describe the case of a young woman with dyspnea who had severe pulmonary hypertension secondary to Takayasu arteritis of the pulmonary artery. She was administered corticosteroid (methylprednisolone) and immunosuppressant (azathioprine) therapy and a stent was implanted in the left pulmonary artery. Both hemodynamic and clinical signs improved.

摘要

高安动脉炎是一种影响大血管,尤其是主动脉及其分支的炎症性疾病。该疾病的临床特征取决于哪些动脉受到影响。虽然肺动脉受累很常见,但很少以此作为主要临床表现。我们描述了一名患有呼吸困难的年轻女性病例,其患有继发于肺动脉高安动脉炎的严重肺动脉高压。她接受了皮质类固醇(甲泼尼龙)和免疫抑制剂(硫唑嘌呤)治疗,并在左肺动脉植入了支架。血流动力学和临床症状均有所改善。

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