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发热, 无脉, 反复黑矇, 心功能衰竭

周梦馨 吴迪 杨华夏 范思远 白冰 周元凯 郭潇潇 陈跃鑫

周梦馨, 吴迪, 杨华夏, 范思远, 白冰, 周元凯, 郭潇潇, 陈跃鑫. 发热, 无脉, 反复黑矇, 心功能衰竭[J]. 协和医学杂志, 2019, 10(6): 698-704. doi: 10.3969/j.issn.1674-9081.2019.06.025
引用本文: 周梦馨, 吴迪, 杨华夏, 范思远, 白冰, 周元凯, 郭潇潇, 陈跃鑫. 发热, 无脉, 反复黑矇, 心功能衰竭[J]. 协和医学杂志, 2019, 10(6): 698-704. doi: 10.3969/j.issn.1674-9081.2019.06.025

发热, 无脉, 反复黑矇, 心功能衰竭

doi: 10.3969/j.issn.1674-9081.2019.06.025
详细信息
    通讯作者:

    陈跃鑫  电话:010-69152510, E-mail:cyuexin2007@163.com

  • 中图分类号: R543.5;R541.6

  • 利益冲突  无
  • 图  1  头颈计算机断层摄影血管造影重建示头臂干重度狭窄,狭窄程度>70%(白色箭头);左侧颈总动脉全程闭塞(蓝色箭头), 锁骨下动脉近全程闭塞(红色箭头);右侧锁骨下动脉未见明显狭窄(绿色箭头), 颈总动脉中段管壁增厚(黄色箭头)

    A.正位;B.侧位

    图  2  多发性大动脉炎患者术中主动脉造影图像

    A.支架植入前可见头臂干狭窄(白色箭头),右颈总动脉(黄色箭头)及锁骨下动脉(绿色剪头)充盈良好,左颈总动脉、颈内动脉及锁骨下动脉未显影;B.于头臂干狭窄段植入支架(黑色箭头);C.支架植入后可见位置良好(黑色箭头),头臂干血流通畅,颅内动脉血流通畅

    图  3  多发性大动脉炎患者术后复查头颈部CT血管造影示右侧头臂干及右颈总动脉近端支架植入术后,血流通畅,管腔内未见明确狭窄(箭头), 余大致同前

    A.术后1年; B.术后2年

    图  4  以多学科为基础的标准化、流程化、精细化、综合性的复杂多发性大动脉炎诊疗流程

    注:粗箭头表示流程,细箭头表示血管外科之外的参与科室

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出版历程
  • 收稿日期:  2019-04-22
  • 刊出日期:  2019-11-30

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