老年抗中性粒细胞胞浆抗体相关性血管炎的诊疗特点  

Clinical characteristics of ANCA associated vasculitis in the elderly

作　　者：何强[1] 邵丽娜[1] 

机构地区：[1]浙江省人民医院肾脏病科,杭州310014

出　　处：《中国实用内科杂志》2014年第12期1167-1171,共5页Chinese Journal of Practical Internal Medicine

摘　　要：抗中性粒细胞胞浆抗体(ANCA)相关性血管炎是一种坏死性小血管炎症,常累及多器官,是导致老年人群肾功能快速进展恶化的重要疾病之一。最新的血管炎CHCC2012命名系统对其做了命名更新。目前血管炎方面高质量的循证医学研究成果为临床血管炎的规范治疗提供了依据。但老年患者往往病情复杂,常合并基础疾病,诊治困难,预后较差,因此,制定老年血管炎患者个体化的优化治疗策略非常重要。ANCA associated vasculitis is a necrotizing vascular inflammation,usually involving multiple organs. It is one of the major diseases that cause deterioration of renal function rapidly in the elderly. The latest CHCC2012 has updated the name of ANCA associated vasculitis. Some high quality randomized clinical trials provide evident basis for treatment of vasculitis. However,elderly patients often suffer complex diseases,and are associated with underlying diseases,so it is difficult to be diagnosed and treated. It is very important to make optimized individual strategies of treatment for elderly patients with vasculitis.

关 键 词：血管炎 抗中性粒细胞胞浆抗体 老年人 

分 类 号：R665[医药卫生—外科学]