【摘要】 目的探讨血管外科疾病合并常见风湿性疾病的处理策略。方法收集2010年1月至2017年1月安徽省立医院收治的血管外科疾病伴有风湿性疾病患者的病例资料,探讨血管外科常见伴随风湿性疾病的类型、治疗措施及预后。结果血管外科疾病合并风湿性疾病包括类风湿关节炎(RA)、系统性红斑狼疮(SLE)、干燥综合征、白塞病(BD)、大动脉炎、系统性硬化症等。其中伴随风湿性疾病的患者中,深静脉血栓形成(DVT)50例,动脉闭塞或狭窄33例,肢体溃疡或坏疽23例,夹层或动脉瘤15例。经治疗后,1例死亡,余患者均治愈或症状缓解。结论对于伴随风湿性疾病的血管外科患者往往治疗策略异于一般患者,预后也不尽相同,临床工作中需重视对风湿性疾病的识别及控制。更多还原

【Abstract】 Objective The aim of this study was to analyze the strategies of vascular diseases combined with rheumatic diseases in our department. Methods The data of patients of vascular diseases combined with rheumatic diseases in our department from January 2010 to January 2017 were collected retrospectively to investigate the types, treatment measures and prognosis. Results The rheumatic diseases often accompanied by patients in our department include rheumatoid arthritis, systemic lupus erythematosus, Sjogren’s syndrome, Behcet’s disease, arteritis, systemic sclerosis and so on.Including rheumatic diseases in patients there are 50 cases with deep venous thrombosis in 50 cases, 33 cases with arterial occlusion or stenosis, 23 cases with limb ulcer or gangrene and 12 cases with dissection or aneurysms. After treatment, 1 patient died, and the remaining patients were cured or the symptoms were relieved. Conclusions The treatment strategies and prognosis are often different from the average patient for vascular patients with rheumatic diseases. We should pay attention to the recognition and control of rheumatic diseases during clinical work.更多还原