【摘要】：目的探討梅毒性主動(dòng)脈瘤的臨床特點(diǎn)及診斷。方法報(bào)告1例梅毒性主動(dòng)脈瘤,并復(fù)習(xí)近年來(lái)國(guó)內(nèi)外發(fā)表的梅毒性主動(dòng)脈瘤文獻(xiàn)。結(jié)果本病例表現(xiàn)為進(jìn)行性聲音嘶啞伴心臟雜音。通過(guò)主動(dòng)脈CT血管造影(CTA)及梅毒血清學(xué)試驗(yàn)確診。因抗生素的廣泛應(yīng)用,梅毒性主動(dòng)脈瘤在近年文獻(xiàn)中十分罕見(jiàn),其起病隱匿,表現(xiàn)多樣,病死率高。結(jié)論隨著HIV的流行和早期梅毒的增加,晚期心血管梅毒有上升趨勢(shì)。應(yīng)警惕年輕且無(wú)冠心病危險(xiǎn)因素的主動(dòng)脈瘤患者,發(fā)現(xiàn)升主動(dòng)脈的擴(kuò)張和鈣化時(shí),需行梅毒血清學(xué)檢查。若臨床疑診,應(yīng)考慮驅(qū)梅及手術(shù)治療。
[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.
【作者單位】： 上海長(zhǎng)征醫(yī)院皮膚科;
【分類(lèi)號(hào)】：R759.1

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