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ANCA相关血管炎脑出血临床分析
引用本文:傅淑霞,PEI Hua-ying,杨林,邢玲玲.ANCA相关血管炎脑出血临床分析[J].脑与神经疾病杂志,2008,16(2).
作者姓名:傅淑霞  PEI Hua-ying  杨林  邢玲玲
作者单位:河北医科大学第二医院肾内科,石家庄,050000
摘    要:目的:探讨抗中性粒细胞胞浆抗体(ANCA)相关血管炎脑出血患者临床和病理特征。方法:报道1例AN-CA相关血管炎脑出血患者临床、影像学和病理资料,并进行文献复习。结果:老年,女性,左基底节区脑出血,单神经炎、局灶、节段坏死性肾小球肾炎伴肾小动脉纤维素样坏死,肾衰竭,ANCA阳性,血沉90mm/1h,心脏传导阻滞,发热,乏力,食欲减退和贫血。结论:ANCA相关血管炎脑出血患者常合并多系统损害,ANCA检测和组织活检是诊断依据。

关 键 词:抗中性粒细胞胞浆抗体相关血管炎  脑出血

Clinical analysis in a patient with ANCA-associated vasculitis with cerebral hemorrhage
Institution:FU Shu-xia; PEI Hua-ying; YANG Lin; et al.Department of Nephrology; The Second Hospital of Hebei Medical University; Shijiazhuang(050000); China;
Abstract:Objective:To investigate clinical and pathological characteristics of the patient with antineutrophil cytoplasmic autoantibodies(ANCA)associated vasculitis with cerebral hemorrhage.Methods:To collect the clinical and pathological date as well imageological about the patient and review correlational documents.Results:The left basal ganglia hemorrhage,mononeuritis,focal segment necrotic glomerulonephritis accompany intrarenal arteriole fibrinoid necrosis,renal failure and a positive anti-myeloperoxidase(anti-...
Keywords:antineutrophil cytoplasmic autoantibodies associated vasculitis cerebral hemorrhage
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