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src="https://file.bohe.cn/fhfile1/M00/34/D1/oYYBAGhl79CAZ_ahAAFYUU4N44Q800.jpg"></p><p>1、頭痛</p><p>多發(fā)性大動(dòng)脈炎患者常出現持續性頭痛，可能與頸動(dòng)脈或椎動(dòng)脈狹窄導致腦供血不足有關(guān)。頭痛多位于枕部或額部，可伴隨頭暈、惡心等癥狀。急性發(fā)作時(shí)可遵醫囑使用布洛芬緩釋膠囊、對乙酰氨基酚片等藥物緩解疼痛，但需警惕顱內缺血風(fēng)險。</p><p>2、視力下降</p><p>眼部癥狀表現為突發(fā)或漸進(jìn)性視力模糊、視野缺損，與眼動(dòng)脈受累相關(guān)。嚴重者可出現一過(guò)性黑矇或失明，眼底檢查可見(jiàn)視網(wǎng)膜缺血改變。需通過(guò)糖皮質(zhì)激素沖擊治療（如甲潑尼龍琥珀酸鈉注射液）控制炎癥，必要時(shí)聯(lián)合血管擴張劑改善血供。</p><p>3、肢體無(wú)力</p><p><img class="up_image_20111121" src="https://file.bohe.cn/fhfile1/M00/34/D1/oYYBAGhl79CAFpPmAACAYPu-Rvw087.jpg"></p><p>上肢或下肢間歇性乏力常見(jiàn)于鎖骨下動(dòng)脈或髂動(dòng)脈狹窄，活動(dòng)后加重伴脈搏減弱。嚴重時(shí)出現肢體發(fā)涼、蒼白甚至壞疽。血管超聲可明確狹窄程度，治療需采用阿司匹林腸溶片抗血小板聚集，配合硫酸氫氯吡格雷片預防血栓形成。</p><p>4、暈厥</p><p>突發(fā)意識喪失多因椎基底動(dòng)脈嚴重狹窄引發(fā)腦干缺血，常由體位改變誘發(fā)。發(fā)作前可有耳鳴、視物旋轉等前驅癥狀。需通過(guò)頭頸部CTA評估血管病變，緊急情況下需使用硝酸甘油注射液擴張血管，必要時(shí)行血管旁路移植術(shù)。</p><p>5、血壓異常</p><p>雙側上肢血壓差超過(guò)20mmHg或下肢血壓顯著(zhù)降低是特征性表現，與主動(dòng)脈分支狹窄部位相關(guān)。長(cháng)期高血壓可導致腎動(dòng)脈狹窄，需監測腎功能。治療選用苯磺酸氨氯地平片控制血壓，合并腎動(dòng)脈狹窄時(shí)需血管介入治療。</p><p>多發(fā)性大動(dòng)脈炎患者需避免劇烈運動(dòng)和寒冷刺激，定期監測血壓及血管搏動(dòng)情況。飲食應低鹽低脂，保證優(yōu)質(zhì)蛋白攝入，如魚(yú)類(lèi)、豆制品等。出現新發(fā)癥狀或原有癥狀加重時(shí)須立即復診，長(cháng)期隨訪(fǎng)評估血管病變進(jìn)展。急性期需嚴格臥床休息，穩定期可進(jìn)行適度有氧運動(dòng)改善血液循環(huán)。</p></div> <div id="9zzd5xpp" class="f24 fc9 lh40 ta-j">免責聲明：本頁(yè)面信息為第三方發(fā)布或內容轉載，僅出于信息傳遞目的，其作者觀(guān)點(diǎn)、內容描述及原創(chuàng 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