[血管造影术在结节性多动脉炎诊断中的临床重要性]
[The clinical importance of angiography in the diagnosis of periarteritis nodosa].
作者信息
Hermanutz K D, Wahlen A, Sobbe A
出版信息
Rontgenblatter. 1975 Aug;28(8):339-48.
PMID:2965
Abstract
Report on a 53 years old patient with renal failure. Angiography showed multiple micro-aneurysms in kidneys and liver, in some instances also in the pancreatic, duodenal and mesenterial arteries. Muscle biopsy confirmed the suspicion of arteriitis nodosa. Clinically the diagnosis of necrotizing arteriitis is difficult. Angiography settles the diagnosis, but only positive findings of micro-aneurysms prove it. The differential diagnosis is discussed and illustrated.
摘要
一名53岁肾衰竭患者的报告。血管造影显示肾脏和肝脏有多个微动脉瘤，某些情况下胰腺、十二指肠和肠系膜动脉也有。肌肉活检证实了结节性动脉炎的怀疑。临床上坏死性动脉炎的诊断很困难。血管造影有助于确诊，但只有微动脉瘤的阳性发现才能证实。文中讨论并举例说明了鉴别诊断。
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