中国实用儿科杂志

中国实用儿科杂志 ›› 2025, Vol. 40 ›› Issue (7): 613-616.DOI: 10.19538/j.ek2025070616

• 病例报告 • 上一篇    

儿童多发性大动脉炎合并脑出血 1 例并文献复习

  

  1. 华中科技大学同济医学院附属武汉儿童医院风湿免疫科，湖北  武汉  430016
  • 出版日期:2025-07-06 发布日期:2025-09-02
  • 通讯作者: 尹薇，电子信箱：18696174676@163.com

Takayasu’s arteritis complicated with intracerebral hemorrhage in a child：a case report and literature review

  1. Department of Rheumatology，Wuhan Children’s Hospital，Tongji Medical College，Huazhong University of Science & Technology，Wuhan  430016，China
  • Online:2025-07-06 Published:2025-09-02

摘要：

总结华中科技大学同济医学院附属武汉儿童医院风湿免疫科收治的1例多发性大动脉炎合并脑出血的临床资料，并复习文献，以探讨儿童多发性大动脉炎合并脑出血临床特点。结果发现，14岁女性患儿，以“反复低热10个月，食欲减退、伴消瘦5个月”为主诉，经血管计算机断层扫描造影（CTA）检查确诊多发性大动脉炎，给予激素、免疫抑制剂治疗临床症状好转。而后出现脑出血，给予手术治疗。通过复习文献总结，多发性大动脉炎儿童不多见，合并脑出血病例更为少见，多发性大动脉炎一经确诊，需动态监测血压，定期随访行颅脑影像学检查，警惕动脉瘤、脑出血的发生。

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Abstract:

The clinical data of Takayasu’s arteritis with intracerebral hemorrhage in a child were summarized，who received treatment in Department of Rheumatology of Wuhan Children’s Hospital of Tongji Medical College of Huazhong University of Science & Technology，and the relevant literature was reviewed，in order to explore the clinical characteristics of Takayasu’s arteritis with intracerebral hemorrhage in children. The results showed that a 14-year-old female patient with recurrent fever for 10 months and anorexia and emaciation for 5 months was diagnosed with Takayasu’s arteritis by vascular CTA examination. The clinical symptoms were improved by glucocorticoid and immunosuppressive therapy，and then cerebral hemorrhage occurred，which was immediately treated by surgery. The literature review shows that Takayasu’s arteritis is rare in children，and the case with intracerebral hemorrhage is even rarer. Once Takayasu’s arteritis is confirmed，dynamic monitoring of blood pressure and regular follow-up of craniocerebral imaging are required to be vigilant against the occurrence of aneurysm and intracerebral hemorrhage.

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