以脑梗死和尺神经损害为主要表现的ANCA相关性血管炎一例

A Case of ANCA-Associated Vasculitis with Cerebral Infarction and Ulnar Nerve Damage as the Main Manifestation

摘要: 患者女性，67岁。因“右侧肢体麻木无力6小时，再发2小时”为主诉入院。既往1月前脑梗死病史。入院后完善颅脑磁共振、免疫指标、肌电图等检查最终诊断为ANCA相关性血管炎。给予阿司匹林抗血小板聚集、他汀稳定斑块、激素抑制炎症反应等治疗，出院时右侧肢体无力较前略好转。出院1月后随访，患者右侧肢体肌力稍差，正常工作与生活无影响。

Abstract: Patient is female, 67 years old. She was admitted to hospital with the chief complaint of “numbness and weakness of the right limb for 6 hours, another 2 hours”, with one month’s previous history of cerebral infarction. After admission, the brain magnetic resonance imaging, immune index and electromyography were improved and finally diagnosed as ANCA-associated vasculitis. After treat-ment with aspirin against platelet aggregation, statin stabilizing plaque and hormone inhibiting in-flammation, the weakness of the right limb was slightly improved at discharge. One month after discharge, the follow-up showed that the muscle strength of the right limb of the patient was slight-ly poor, and there was no effect on normal work and life.