GÓP PHẦN CHẨN đoán và điều TRỊ BỆNH VIÊM ĐỘNG MẠCH TAKAYASU NHÂN 5 TRƯỜNG hợp lâm SÀNG








 


               




   

  





SUMMARY
Aim:          
arteritis in Vietnamese patients and analyse all patients with the disease with regard to clinical
course, outcome and response to angioplasty.
Method: Data were selected from a database in Tam Duc Hospital, 5 patients with diagnosis
umatology Criteria, in the period
03/2008 to 09/2010

Results: Symtoms suggestive of arterial disease were frequently noted is hypertension,
arterial bruit, decreased artery pulse. Successfully treated by percutaneous transluminal
angioplasty and stent placement. Aortic stenting gave excellent control blood pressure 3/3 of the
patients, subclavian(1/1) and coronary (1/1) stenting improved symtom.
Conclusion: 
and HTN were common. High BP improved after aortic stenting, symptoms were improved after
coronary and subclavian artery stenting. Requirement adequate investigation in a controlled trial
for which a multicenter effort is needed because of the rarity of the disease in Vietnam.








 


 




-
Na     


   
















Tiêu c








     
tay trên 10 mmHg.






    





             


Type

I

Iia

Iib
      

III
      
       

IV


V
     

Thêm







 










m lâm sàng và phân loi tch máu
Bnh
nhân
Gii
tính
Tui chn

Du cách
hi
Mch
chi yu
Âm thi

ng mch

huyt áp
Phân loi
Thi gian theo

1
N
32
(-)
(+)
(+)
(+)
Type V
1.7
2
Nam
13
(-)
(+)
(+)
(+)
Type IIb
2.6
3
N
51
(-)
(+)
(+)

(+)
Type IIb
1.7
4
N
40
(-)
(+)
(+)
(+)
Type IIb
0.6
5
N
26
(+)
(+)
(+)
(+)
Type IV
0.5
V t stent và kt qu
Bnh
nhân
ng mch
ch bng
Mch vành
Mch thn

i 

Kt qu
1
(+)
(-)
(-)
(-)
Ci thin huyt áp
2
(+)
(-)
(-)
(-)
Ci thin huyt áp
3
(+)
(-)
(-)
(-)
Ci thin huyt áp
4
(-)
(-)
(-)
(-)
u tr ni khoa
5
(-)
(+)
(+)
(+)

Ci thin triu chng

               




 



và t




-
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
 
-96%





 
[15,16,17,18].
                
 


 



 









  





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