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大动脉炎系主要侵犯主动脉及其分枝的非特异性炎症疾患,以往称高安氏病、无脉病,目前咸称小动脉炎综合征。多见于青年女性,儿童患者容易误诊和漏诊,现将我院所收治的3例报告如下。例1 男,9岁,住院号75684。因气促、乏力2月于1976年3月17日入院。体检:发育中等,颜面轻度浮肿,两上肢肘、桡动脉不能触及,血压测不出;两下肢腘动脉,足背动脉可触及。心前区闻及Ⅱ级收缩期吹风样杂音;背部及左颈部闻及血管杂音。胸部X 线片示左右心室扩大;血尿常规及血沉检查均正常。诊断为大动脉炎,用青霉素、强的松龙、潘生丁等治疗,住院14天病情无变化出院。例2 女,8岁,住院号1328(?)8。患儿于1979年9年始低热,纳差,倦怠,血沉快,先后诊断为“结核”、“心脏病”等,抗痨治疗无效。本次因持续低热、心慌、气短于1981年3月16日入院。体检:体温37℃,血压130/90mmHg,胸骨左缘第二、三肋间闻及Ⅲ级收缩
Arteritis is a non-specific inflammation that mainly affects the aorta and its branches. In the past, it was called High-Angle’s disease and had no pulse-wave disease. At present, it is called arteriole syndrome. More common in young women, children are easily misdiagnosed and missed diagnosis, now my hospital admitted 3 cases are as follows. Example 1 Male, 9 years old, hospital number 75684. Due to shortness of breath, fatigue in February on March 17, 1976 admission. Physical examination: moderately developed, mild facial edema, upper extremity elbow, radial artery can not touch, blood pressure can not be measured; two lower extremity popliteal artery, dorsalis pedis artery can be touched. Anterior precordial and grade Ⅱ systolic hair-like noise; back and left neck smell and vascular murmur. Chest X-ray showed about ventricular enlargement; hematuria routine and ESR examination were normal. Diagnosis of aortitis, with penicillin, prednisolone, dipyridamole and other treatment, hospitalized 14 days no change in condition and discharged. Example 2 Female, 8 years old, hospital number 1328 (?) 8. Children in the 9 years since 1979, low fever, anorexia, fatigue, rapid ESR, has diagnosed as “tuberculosis”, “heart disease” and so on, anti-tuberculosis treatment is invalid. The continuous low fever, palpitation, shortness of breath in March 16, 1981 admission. Physical examination: body temperature 37 ℃, blood pressure 130 / 90mmHg, left sternal second, third intercostal smell and Ⅲ grade contraction