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非动脉粥样硬化性血管病。

Nonarteriosclerotic vascular disease.

机构信息

Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA.

出版信息

Surg Clin North Am. 2013 Aug;93(4):833-75, viii. doi: 10.1016/j.suc.2013.04.003. Epub 2013 Jun 17.

Abstract

Thromboangiitis obliterans, or Buerger disease, is a chronic nonatherosclerotic endarteritis manifesting as inflammation and thrombosis of distal extremity small and medium-sized arteries resulting in relapsing episodes of distal extremity ischemia. Takayasu arteritis is a rare syndrome characterized by inflammation of the aortic arch, pulmonary, coronary, and cerebral vessels, presenting with cerebrovascular symptoms, myocardial ischemia, or upper extremity claudication in young, often female, patients. Kawasaki disease is a small- and medium-vessel acute systemic vasculitis of young children, with morbidity and mortality stemming from coronary artery aneurysms. Microscopic polyangiitis, Churg-Strauss syndrome, and Wegener granulomatosis are systemic small-vessel vasculitides, affecting arterioles, capillary beds and venules, and each presenting with variable effects on the pulmonary, renal and gastrointestinal systems.

摘要

血栓闭塞性脉管炎,又称伯格病,是一种慢性非动脉粥样硬化性动脉内膜炎,表现为远端肢体小、中动脉的炎症和血栓形成,导致远端肢体反复缺血发作。Takayasu 动脉炎是一种罕见的综合征,其特征为主动脉弓、肺、冠状动脉和脑动脉的炎症,表现为脑血管症状、心肌缺血或年轻女性患者上肢跛行。川崎病是一种儿童期小和中等血管的急性全身性血管炎,其发病率和死亡率源于冠状动脉瘤。显微镜下多血管炎、Churg-Strauss 综合征和韦格纳肉芽肿是全身性小血管血管炎,影响小动脉、毛细血管床和小静脉,每种疾病都会对肺部、肾脏和胃肠道系统产生不同的影响。

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