梅毒性主动脉瘤1例及文献复习
发布时间：2019-05-22 19:18
【摘要】：目的探讨梅毒性主动脉瘤的临床特点及诊断。方法报告1例梅毒性主动脉瘤,并复习近年来国内外发表的梅毒性主动脉瘤文献。结果本病例表现为进行性声音嘶哑伴心脏杂音。通过主动脉CT血管造影(CTA)及梅毒血清学试验确诊。因抗生素的广泛应用,梅毒性主动脉瘤在近年文献中十分罕见,其起病隐匿,表现多样,病死率高。结论随着HIV的流行和早期梅毒的增加,晚期心血管梅毒有上升趋势。应警惕年轻且无冠心病危险因素的主动脉瘤患者,发现升主动脉的扩张和钙化时,需行梅毒血清学检查。若临床疑诊,应考虑驱梅及手术治疗。
[Abstract]:Objective to investigate the clinical features and diagnosis of syphilis aortic aneurysm. Methods A case of syphilis aortic aneurysm was reported and the literature of syphilis aortic aneurysm published at home and abroad in recent years was reviewed. Results the case showed progressive hoarseness with cardiac murmur. Aortic CT angiography (CTA) and syphilis serological test were used to diagnose the diagnosis. Because of the wide use of antibiotics, syphilis aortic aneurysm is very rare in recent years, its onset is hidden, the manifestation is diverse, and the fatality rate is high. Conclusion with the prevalence of HIV and the increase of early syphilis, late cardiovascular syphilis has an upward trend. Young patients with aortic aneurysm without risk factors of coronary heart disease should be vigilant and syphilis serological examination should be performed when dilatation and calcification of ascending aortic artery are found. If clinical diagnosis is suspected, consideration should be given to plum repellent and surgical treatment.
【作者单位】： 上海长征医院皮肤科;
【分类号】：R759.1
本文编号：2483183
[Abstract]:Objective to investigate the clinical features and diagnosis of syphilis aortic aneurysm. Methods A case of syphilis aortic aneurysm was reported and the literature of syphilis aortic aneurysm published at home and abroad in recent years was reviewed. Results the case showed progressive hoarseness with cardiac murmur. Aortic CT angiography (CTA) and syphilis serological test were used to diagnose the diagnosis. Because of the wide use of antibiotics, syphilis aortic aneurysm is very rare in recent years, its onset is hidden, the manifestation is diverse, and the fatality rate is high. Conclusion with the prevalence of HIV and the increase of early syphilis, late cardiovascular syphilis has an upward trend. Young patients with aortic aneurysm without risk factors of coronary heart disease should be vigilant and syphilis serological examination should be performed when dilatation and calcification of ascending aortic artery are found. If clinical diagnosis is suspected, consideration should be given to plum repellent and surgical treatment.
【作者单位】： 上海长征医院皮肤科;
【分类号】：R759.1
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