一例伴有严重主动脉缩窄的大动脉炎综合征病例。
A case of aortitis syndrome with severe coarctation of the aorta.
作者信息
Ashizawa N, Suzuki S, Kobayashi M, Aoi W, Hashiba K
出版信息
Angiology. 1985 Mar;36(3):197-200. doi: 10.1177/000331978503600309.
A 17 year old female with aortitis syndrome was reported. The blood pressure of upper extremities was 204/88 mmHg which was higher than that of lower extremities (88/mmHg). Chest X ray showed marked rib notchings at the lower border of the right 7th and 8th rib and left 8th ribs. Stenosis of the thoracic aorta was observed at the upper border of the 9th rib and the lower border of the 10th rib with marked development of collateral circulation. After 6 months treatment with steroids, inflammation signs were improved and thickness of the aorta was decreased which was detected by computed tomography. However, blood pressure was not decreased by the combined antihypertensive treatment.
报告了一名17岁患有大动脉炎综合征的女性。上肢血压为204/88 mmHg，高于下肢血压（88/ mmHg）。胸部X线显示右侧第7和第8肋骨下缘以及左侧第8肋骨有明显的肋骨切迹。在第9肋骨上缘和第10肋骨下缘观察到胸主动脉狭窄，侧支循环明显发展。经类固醇治疗6个月后，炎症体征改善，计算机断层扫描检测到主动脉厚度减小。然而，联合降压治疗后血压并未降低。
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