Wegener肉芽肿8例临床分析

Clinical analysis of 8 cases with Wegener’s granulomatosis

  • 摘要: 报告8例Wegener肉芽肿病。本组疾病的病理特点均表现为坏死性血管炎及肉芽肿形成。临床特点为:发热(38~40℃)、鼻塞、鼻衄,咳嗽、血痰,口腔及鼻咽部溃疡,皮下结节;X线表现为肺部多发性结节及空洞阴影,副鼻窦炎征。尿常规检查异常。诊断主要依靠病变组织活检。环磷酰胺和肾上腺皮质激素联合治疗效果显著。

     

    Abstract: In this report,the diagnosis and treatment of 8 patients with Wegener’S granulomatosis(WG)were described.The characteristic pathological changes of this disease were inflammatory cellular infiltration of the vessel wall combined with necrotizing granulomatous features.The chief clinical manifestations were as follows:fever(39~40℃),nasal obstruction,epistaxis,cough with bloody sputum,mucosal ulceration in the mouth,nose or nasapharynx and subcutaneous nodules.X-ray films showed multiple nodular infiltrations with cavitary formation in the lung fields and signs of paranasal sinusitis.The diagnosis of WG depended mainly on tissue biopsy of different parts of the body.Cyclophospharnide in combination with glucocorticoid.were used to treat WG with excellent effects.

     

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