Wei Yalin,Wu Xiangyang.Clinical analysis and surgical treatment of Takayasu arteritis in a child misdiagnosed as dilated cardiomyopathy[J].Journal of Clinical Pediatric Surgery,2023,22(05):443-446.[doi:10.3760/cma.j.cn101785-202207048-008]
儿童大动脉炎误诊为扩张型心肌病的临床分析及外科治疗
- Title:
- Clinical analysis and surgical treatment of Takayasu arteritis in a child misdiagnosed as dilated cardiomyopathy
- Keywords:
- Arteritis; Cardiomyopathies; Surgical Procedures; Operative; Child
- 摘要:
- 大动脉炎(Takayasu arteritis,TA)是一种以主动脉及其一级分支受累为主的慢性血管炎,年发病率为0.4/1 000 000~2.6/1 000 000,常见于亚洲育龄期女性。TA对心脑血管系统危害极大,致死率和致残率极高,正确诊断及早期治疗至关重要。但儿童TA发病隐匿,缺乏特异的临床症状,导致漏诊率和误诊率较高。本文报道兰州大学第二医院收治的1例儿童TA误诊为扩张型心肌病的治疗经验。
- Abstract:
- Takayasu arteritis (TA) is a type of chronic vasculitis mainly involving the aorta and its primary branches.The annual incidence ranges from 0.4/1 000 000 to 2.6/1 000 000.It is common in Asian women of childbearing age.Aortitis has great harm to the cardiovascular and cerebrovascular system,and the fatality rate and disability rate are very high.Therefore,correct diagnosis and early treatment are very important in clinic. However,the incidence of pediatric aortitis is occultic and the lack of specific clinical symptoms leads to a high rate of missed diagnosis and misdiagnosis.This article reports the treatment experience of a case of pediatric aortitis misdiagnosed as dilated cardiomyopathy in the Second Hospital of Lanzhou University.
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备注/Memo
收稿日期:2022-7-26。
通讯作者:吴向阳,Email:wuxyok@163.com