白塞病心血管受累患者的临床特点

高娜;韩薇;慈维苹;廖华;杜娟

【期刊名称】《中华医学杂志》

【年(卷),期】2016(096)019

【摘要】目的分析总结白塞病心血管系统受累患者的临床特点.方法回顾分析2002年1月至2014年1月在北京安贞医院住院治疗的35例白塞病心血管系统受累患者的临床资料.35例中男27例,占77.1％;年龄:男(37±10)岁,女(36±9)岁.治疗措施包括激素、免疫抑制剂、对症治疗、介入及外科手术.结果白塞病的心血管表现包括瓣膜病变(20例,57.1％)、传导异常(10例,28.6％)、心内血栓(1例,2.9％)、动脉瘤(13例,37.1％)、动脉狭窄或闭塞(5例,14.3％)、肺动脉病变(3例,8.6％)、静脉阻塞(4例,11.4％);同时存在1种以上的病变患者20例.炎症指标在各亚组间差异无统计学意义(P＞0.05).住院期间死亡2例.结论心血管系统损害是白塞病的严重脏器受累表现,值得重视.多科协作有利于该疾病的诊治.%Objective To analysis the clinical features of cardiovascular involvement in Behcet's disease.Methods We reviewed 35 medical records of Behcet's disease with cardiovascular lesions in Anzhen Hospital,Capital Medical University from January 2002 to January 2014.77.1％patients (27/35)were male.The mean ((x) ±s) age when cardiovascular diseases occur was 37.19 ± 10.4 years in male and 36.0 ± 8.6 years in female respectively.Results The clinical spectrum of cardiovascular abnormalities included valvular regurgitation (20,57.1％),conduction system disturbances (10,28.6％),intracardiac