左颈总动脉炎误诊为频发心绞痛1例  

One case of left common carotid arteritis misdiagnosed as frequent-occurrence of angina pectoris

作　　者：陈润唯 

机构地区：[1]齐齐哈尔市富裕人民医院慢性病科,齐齐哈尔161200

出　　处：《中国当代医药》2015年第16期168-169,172,共3页China Modern Medicine

摘　　要：大动脉炎是一种以损害人体中膜为主的全身性动脉炎症。该病因累及动脉部位不同,临床表现也复杂多变,极易造成误诊。本文报道1例2014年12月在本院就诊的大动脉炎患者,因起病症状、病情发作特点与心绞痛极其相似而误诊,追朔病史发现此病例多次误诊、致使病情迁延。本文通过对其分析,进一步阐述该病的临床特点及误诊原因,提醒医师对本病的认识,以便更好地服务于患者。Takayasu arteritis refers to a general arterial inflammation mainly damaging tunica media.Due to different arterial parts involved in the disease,the clinical manifestations are also complicated and changeable,which easily lead to misdiagnosis.One patient diagnosed as Takayasu arteritis and visited our hospital in December 2014 was reported in the paper.Onset of symptoms and characteristics of disease attack were similar to those in angina pectoris and would be misdiagnosed.When asking past medical history,the patient was misdiagnosed for several times resulting in delay.Based on the analysis of disease conditions,the clinical characteristics and causes of misdiagnosis in the disease were further elaborated.Meanshile, awareness of the disease was reminded for other physicians in order to offer better services for patients.

关 键 词：大动脉炎 心绞痛 误诊 

分 类 号：R543.4[医药卫生—心血管疾病]