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巨细胞动脉炎有突发失明和中风的危险,因此当患者出现颞部头痛、头皮触痛、血沉增快则需紧急处理,需立即使用激素治疗。很多医生试图通过颞动脉活检来证实临床诊断,不过在进行活检的同时不应延误治疗;颞动脉活检最佳敏感率为60～70％。除了对颞动脉炎临床评估的基本观察外,几乎所有其它方面还是一个谜,因而出现诊断和治疗的难题。尽管激素治疗的最佳剂量未明确规定,且长期高剂
Giant cell arteritis has the risk of sudden blindness and stroke, so when the patient has a temporal headache, scalp tenderness, ESR requires urgent treatment, the need for immediate use of hormone therapy. Many doctors try to confirm the clinical diagnosis by biopsy of the temporal artery. However, biopsy should be performed without delay treatment. The optimal sensitivity of the temporal artery biopsy is 60-70%. In addition to the basic observations of clinical evaluation of temporal arteritis, almost all other aspects remain a mystery and therefore present a challenge in diagnosis and treatment. Although the optimal dose of hormone therapy is not clearly defined, and long-term high dose