颈动脉大动脉炎合并动脉瘤的超声表现1例

患者女,32岁,数年前被诊断为多发性大动脉炎,最近偶有头晕前来就诊。颈动脉超声检查：①双侧颈动脉内膜厚度（IMT）呈不规则弥漫性增厚,最厚处约2．5mm,     

马凡氏综合征并发大动脉炎心肌梗塞和夹层动脉瘤两例报告及文献复习

晚近我们收治两例马凡氏综合征病人,1例并发大动脉炎和急性心肌梗塞,另一例并发夹层动脉瘤和急性左心衰竭;两例均经双维彩色脉冲多普勒超声心动图和 CT 检查证实。我们对2例并发症的机制作了探讨和文献复习,文献强调马凡氏综合症心血管并发症经超声心动图检出率高达92.3%,一般体检仅为30.8%,凡年轻人患有难以肯定胸腹痛者应想到夹层动脉瘤可能,不失时机作出诊断和治疗。     

超声诊断主动脉并颈动脉夹层动脉瘤1例

患者女,42岁,因意识障碍、烦躁不安入我院神经内科诊治,行心脏及颈动脉超声检查。检查仪器为HP5500超声检查仪,探头频率：心脏检查2．5～3．5MHz,颈动脉检查5．5～7．5MHz。[第一段]     

颈动脉夹层1例报道及文献复习

1临床资料 患者,男,61岁,因“反复发作言语不清,伴右侧肢体无力10d”入院,每天发作2～4次,每次持续10-20min,在当地予低分子肝素、尿激酶、华法林、奥扎格雷钠等治疗10d,仍有发作。既往健康．无颈部外伤史。查体：血压130／80mmHg,神清,不完全混合性失语,右侧中枢性面舌瘫,右侧肢体肌力Ⅳ级,右侧巴氏征阳性。血常规、肝肾功能、血脂正常．血糖7．96mmol／L,     

超声造影对颈动脉大动脉炎活动性的评估

目的 探讨超声造影对颈动脉多发性大动脉炎(TA)病变活动期的评估价值.方法 回顾性纳入2019年1月至2020年1月于首都医科大学宣武医院临床诊断为颈动脉TA的患者37例,将患者分为临床活动期17例与非活动期20例.2组均采用二维灰阶超声与超声造影联合检查,比较TA患者活动期与非活动期的常规超声及超声造影特征,并分析超...     

自发性颈动脉夹层1例诊治分析

1 临床资料 患者男性,18 岁,因"咳嗽气短2 d,加重伴呼吸困难10 h"就诊.患者2 d前受凉后出现咳嗽、无痰、伴有气短,发病后患者就诊于当地医院,给予抗感染、止咳等对症治疗.10 h前患者无明显诱因出现呼吸困难症状加重、意识模糊,同时,右侧颈部出现淤血且逐渐增大,立即给予气管切开、呼吸机辅助通气,为求进一步诊治...     

颈动脉联合心脏超声诊断大动脉炎合并主动脉瓣反流1例

<正>患者女，25岁，发现血压升高半年、活动后胸痛2个月，未经系统诊治。查体：血压175/77 mmHg, 心率90次/分，心律齐，主动脉瓣听诊区闻及舒张期叹气样杂音。实验室检查：氨基末端脑钠肽前体248.60 pg/ml, C反应蛋白5.60 mg/L,红细胞沉降率34 mm/h。超声心动图：主动脉瓣瓣尖增厚，舒张期见中度反流(图1A);升主动脉及主动脉窦部内径均为39 mm(图1B),主动脉窦部回声粗糙；     

胸主动脉瘤合并夹层动脉瘤1例

患者,男,64岁。因“胸闷、气短伴咳嗽、发热”做X线检查发现胸主动脉瘤样扩张,建议彩超检查。既往高血压10余年,无剧烈胸腹疼痛病史。超声所见:胸主动脉瘤样扩张,大小约75mm×62mm,其管壁内见附壁血栓形成,左房明显受压,胸主动脉下     

Isolated, spontaneous superior mesenteric and celiac artery dissection: case report and review of literature

Spontaneous, isolated dissection of the superior mesenteric artery (SMA) and celiac artery (CA) is rare. Although there are known risk factors, there is no particular mechanism that is common to vascular dissections. The objectives of this study were to review the current literature on diagnosis and treatment of isolated SMA and CA dissection, and to review aortic complications in giant cell arteritis, Takayasu arteritis, and polyarteritis nodosa. Giant cell arteritis, Takayasu arteritis, and polyarterteritis nodosa are vasculitides that are associated with SMA and CA dissection. An interesting aspect of this case is that the patient was a healthy person before presentation, and ultimately, did not have an underlying etiology to explain the dissection. In addition, the patient was successfully managed without operative intervention. Although there are known risk factors in patients who present with isolated, spontaneous SMA and CA dissection, the pathogenesis is still unclear. The prognosis has improved significantly with the early use of computed tomography angiography to diagnosis this entity. Although most cases require surgical intervention, there are some, as in this case, that are managed non-operatively.     

多层螺旋CT诊断自发性肾动脉夹层1例

患者男,37岁,发热、胁腹痛2天,无外伤史.体格检查:体温38℃,血压135/90 mmHg,腹平软,无压痛、反跳痛,有右肾区叩痛.实验室检查:白细胞11.47×109/L,红细胞5×1012/L,血小板204×109/L,尿常规、血糖、血脂正常.肾脏彩超未见异常.CT增强扫描及肾动脉CTA:右肾动脉中远段增粗,内见偏一侧撕裂的内膜片(图1);累及范围长约27 mm,右肾动脉后支闭塞,右肾中下极呈局限性低密度,增强后未见强化.综合诊断:自发性右肾动脉夹层.