临床证实的巨细胞动脉炎患者19例分析

回顾性分析2002年7月至2008年9月在我院临床证实的19例巨细胞动脉炎住院患者的临床资料。男性8例，女性11例。年龄21—92岁，平均62．2岁。初诊科室神经内科15例，风湿科4例。病程中以头痛为首发症状者16例，发热8例。红细胞沉降率20—130mm／1h，平均71．1mm／1h。入院诊断为巨细胞动脉炎14例。给予糖皮质激素治疗18例。除1例死亡、2例复发外，余病例头痛症状明显缓解。提示在颞动脉活检术不被接受的情况下，从临床表现、体检、实验室检查、诊断性治疗、随访等多角度综合分析，是提高该病确诊率的关键。

Clinical analysis of 19 cases of giant cell arteritis

The clinical data of 19 cases of giant cell arteritis (GCA) including 8 males and 11 females aged 21-92 y (average 62.2 y) from July 2002 to September 2008 were retrospectively reviewed.Among 19 patients,15 first visited the neurology department and 4 the rheumatism department;8 had fever and 16 had headache as primary symptom;the ESR ranged from 20 to 130 mm/1 h (average 71.1 mm/1 h).Fourteen patients were diagnosed as GCA at admission and 18 were treated with steroids hormone and all got remission except 1 death and 2 recurrences.If temporal artery biopsy is not acceptable,integrated analysis of signs,symptoms,laboratory tests,treatment effectiveness and follow-up is important for the correct diagnosis of GCA.