梅毒性主动脉瘤1例及文献复习

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。

Syphilitic aortic aneurysm,one case report and literature review

Objective To review the clinical features and diagnosis of syphilitic aortic aneurysm .Methods A case of syphilitic aortic aneurysm was reported and the relevant literatures were reviewed .Results The patient showed progressive hoarse and heart murmurs and was diagnosed by computed tomographic angiography of aorta and syphilis serology test .In the era of antibiotics ,syphilitic aortic aneurysm is a very rare and dangerous case with covert onset ,various manifestations and high mortality .Conclusions The prevalence of late cardiovascular syphilis is increasing with the increase of early-onset syphilis and HIV epidemic .Syphilis serologic test should be available for the young patients with aortic aneurysm even though the risk factors of coronary heart disease are not present .Medical and surgical treatments for syphilis should be provided for the patients who are clinically suspected of syphilitic aortic aneurysm .