{"nowTime30":1782568621373,"lyBarModerator":null,"metaSearch":{"description":"变应性血管炎（allergic vasculitis）是比较常见的一种疾病，其组织病理有白细胞核破碎的血管炎表现，有皮肤损伤，也有多个内脏损伤。本病有许多名称，为了防止混乱，ruiter认为本病称为变应性血管炎比较合适，本名称体现了由变态反应引起血管的炎性改变。本病轻重不一，轻者仅有皮损数周可愈，严","keywords":"变应性血管炎怎么回事_洞医","title":"变应性血管炎怎么回事_洞医","channels":null},"identificate":{"id":null,"isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"realName":null,"certifiedStatus":0,"phone":null,"email":null,"hospitalId":null,"departmentId":null,"illName":null,"illId":null,"cardType":0,"cardImg":null,"idCardImg":null,"identityType":0,"stop":0,"departmentName":null,"hospitalName":null},"canEdit":null,"adList":[],"lyBar":{"id":"2461","isDel":0,"createAt":1483430523377,"createBy":"system","createName":"system","updateAt":0,"updateBy":null,"updateName":null,"userId":null,"name":"血管炎","type":102,"twoCode":"http://zhao01.com/zly_img/zly_wx.jpg","image":null,"provinceId":null,"cityId":null,"illId":"7395cc87bb5f11e6a61c00163e04584d","hospitalId":null,"keyWord":null,"totleTopic":0,"barDesc":null,"discussBarType":null,"metaSearch":"{\"channels\":{\"病友社区\":{\"description\":\"为病友提供:血管炎论坛_病友交流平台_病友论坛等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"血管炎论坛_病友交流平台_病友论坛\",\"title\":\"血管炎论坛_病友交流平台_病友论坛\"},\"治疗\":{\"description\":\"为您提供:血管炎怎么治疗的偏方_血管炎治疗方法_治疗血管炎的中药方等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"血管炎怎么治疗的偏方_血管炎治疗方法_治疗血管炎的中药方\",\"title\":\"血管炎怎么治疗的偏方_血管炎治疗方法_治疗血管炎的中药方\"},\"症状\":{\"description\":\"为您提供:血管炎的症状有哪些_血管发炎的症状_血管炎症状表现是什么等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"血管炎的症状有哪些_血管发炎的症状_血管炎症状表现是什么\",\"title\":\"血管炎的症状有哪些_血管发炎的症状_血管炎症状表现是什么\"},\"并发症\":{\"description\":\"为您提供:血管炎并发症_血管炎后期并发症_血管炎的危害等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"血管炎并发症_血管炎后期并发症_血管炎的危害\",\"title\":\"血管炎并发症_血管炎后期并发症_血管炎的危害\"},\"饮食\":{\"description\":\"为您提供:血管炎饮食注意事项_血管炎不能吃什么食物_血管炎吃什么好等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"血管炎饮食注意事项_血管炎不能吃什么食物_血管炎吃什么好\",\"title\":\"血管炎饮食注意事项_血管炎不能吃什么食物_血管炎吃什么好\"},\"病因\":{\"description\":\"为您提供:血管炎怎么引起的_血管炎是怎么回事_血管炎的发病原因等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"血管炎怎么引起的_血管炎是怎么回事_血管炎的发病原因\",\"title\":\"血管炎怎么引起的_血管炎是怎么回事_血管炎的发病原因\"},\"病友求助\":{\"description\":\"为您提供:血管炎有生命危险吗_血管炎能治好吗_血管炎能治愈吗等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"血管炎有生命危险吗_血管炎能治好吗_血管炎能治愈吗\",\"title\":\"血管炎有生命危险吗_血管炎能治好吗_血管炎能治愈吗\"},\"预防\":{\"description\":\"为您提供:血管炎怎么预防_怎么预防血管炎_血管炎预防措施等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"血管炎怎么预防_怎么预防血管炎_血管炎预防措施\",\"title\":\"血管炎怎么预防_怎么预防血管炎_血管炎预防措施\"}},\"description\":\"为您提供:皮肤血管炎的症状及治疗_皮肤血管炎治疗方法_皮肤血管炎治疗方法_血管炎病友的治疗经验等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"皮肤血管炎的症状及治疗_皮肤血管炎治疗方法_皮肤血管炎治疗方法\",\"title\":\"皮肤血管炎的症状及治疗_皮肤血管炎治疗方法_皮肤血管炎治疗方法\"}","adInfo":null},"isLikeThisTopic":null,"lastTopics":[{"id":"1985","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"血管炎饮食该注意什么","content":"<p>　　血管炎饮食该注意什么呢?在回答这个问题之前，先让我们对血管炎做一下简单了解吧!</p>\n<p>　　什么是血管炎?血管炎就是血管壁及血管周围有炎症细胞浸润，并伴有血管损伤，包括纤维素沉积、胶原纤维变性、内皮细胞及肌细胞坏死的炎症，又称脉管炎。一般而言，血管炎的饮食保健方法主要有如下几个方面：</p>\n<p>　<strong>　血管炎饮食保健1：丹参酒</strong></p>\n<p>　　白酒500克，紫丹参90克，浸泡一周后，每次饮30毫升，1日1&mdash;2次。适用于脉管炎初期肢冷麻木者。</p>\n<p>　　<strong>血管炎饮食保健2：赤豆煮米仁</strong></p>\n<p>　　赤豆100克，生、熟米仁各30克，红枣7枚，红糖适量，著熟后服食。适用于肢体浮肿者。</p>\n<p>　　<strong>血管炎饮食保健3：黄豆冬瓜皮汤</strong></p>\n<p>　　冬瓜皮60克，黄豆60克，清水3碗，煎至1碗，去渣饮用。适用于患肢浮肿，全身贫血者。</p>\n<p>　　<strong>血管炎饮食保健4：赤豆桃仁莲藕汤</strong></p>\n<p>　　桃仁15克，赤豆60克，莲藕100克，洗净切成小块，加清水适量煮汤，以食盐少许调味，饮汤食赤豆及莲藕。适用于肢冷血脉不和者。</p>\n<p>　　<strong>血管炎饮食保健5：桑椹汤</strong></p>\n<p>　　桑椹子60克，加清水3碗，煎至1碗半。用白砂糖或红糖适量调味，去渣饮用。适用于腰酸头晕者。</p>\n<p>　　血管炎的饮食保健方，你，清楚了吗?由于血管炎越早治疗其预后效果越好，因此，在确诊血管炎后一定要尽早选择积极正规的疗法进行治疗，以便赢得一个良好的预后。</p>\n<p>&nbsp;</p>","barId":"2461","topicTypeId":null,"topicThemeId":"1036","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":1},{"id":"1478","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"血管炎饮食注意事项","content":"<p>　　血管炎是血管壁及血管周围有炎症细胞浸润，并伴有血管损伤，包括纤维素沉积、胶原纤维变性、内皮细胞及肌细胞坏死的炎症，又称脉管炎。一般来说，血管炎患者在生活中可适当多吃如下食物，以便助益于疾病的治疗：</p>\n<p>　　1、苹果中富含多糖果酸、类黄酮、钾及维生素C等营养成分，可使积于体内的脂肪分解，避免身体过于发胖，减轻心脏负担。另外，苹果还能提高肝脏的解毒能力，降低血胆固醇和血脂含量。</p>\n<p>　　2、玉米含有蛋白质、钙、镁、赖氨酸等成分，不饱和脂肪酸含量达85%以上，主要为亚油酸和油酸，能预防心血管疾病的发生。</p>\n<p>　　3、大蒜除能降低血脂外，还具有阻止斑块聚积的作用。而且，大蒜还具有类似于维生素E和维生素C的抗氧化特性。故大蒜在预防和治疗动脉粥样硬化、防止心脏病方面开辟了一条崭新的&ldquo;天然&rdquo;途径。</p>\n<p>　　4、绿茶中的茶多酚是茶叶中的主要物质，可以防止微血管壁破裂出血，还可以降低胆固醇，抑制动脉粥样硬化。</p>\n<p>　　5、海带和海藻含有丰富的牛磺酸，可降低血液及胆汁中的胆固醇;其中的褐藻酸，也可抑制胆固醇的吸收，并且促进代谢。</p>\n<p>　　6、洋葱含有前列腺素，有扩张血管、降低血脂的功能;它含有烯丙基二硫化合物及少量硫氨基酸，可预防动脉粥样硬化。洋葱含有类黄酮物质，和蒜一起吃，&ldquo;疏通&rdquo;血管的功效特别好。</p>\n<p>　　血管炎吃什么，看完上文介绍，相信广大朋友已有所了解，由于血管炎在临床上隶属风湿免疫性疾病范畴，越早治疗其预后效果越好，因此，在确诊血管炎后一定要尽早选择积极正规的疗法进行治疗，以便赢得一个良好的预后。</p>\n<p>&nbsp;</p>","barId":"2461","topicTypeId":null,"topicThemeId":"1035","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":1},{"id":"8097","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"血管炎综合征会引发什么疾病","content":"<p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"></span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">血管炎是一种在平时生活中经常出现的疾病类型，很多患者因为治疗不及时给自己的正常生活造成了很大的麻烦，所以一定要积极治疗，那么血管炎的危害都有哪些呢，下边给大家做一个详细的介绍说明。<strong>血管炎综合征会引发</strong>什么疾病？</span></p><p style=\"line-height:200%\">　　</p><p style=\"line-height: 200%; text-align: center;\"><img src=\"http://01luntan.com/ly_img/uimgs/1511404145981.jpg\" title=\"血管炎综合征会引发什么疾病\" alt=\"血管炎综合征会引发什么疾病\" width=\"600\" height=\"372\"/></p><p style=\"line-height:200%\"><br/></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">1.过敏性紫癜</span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">　　免疫荧光发现系膜和补体沉积。血清补体增高见于半数病例。</span></p><p style=\"line-height:200%\">　　</p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">2.川崎病</span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">　　细菌超抗原除具有抗原性外，尚在结构上类似</span>MHC一Ⅱ分子，能与T细胞受体(TCR)Vβ2/8T区结合向直接活化T细胞，不需经抗原提呈细胞提呈抗原信息，从而选择性扩张Vβ2/8T细胞克隆。现有报告Vβ2/8T细胞多克隆并不引起疾病.但当这些活化的克隆被其他感染源再刺激后(双抗原学说)则进一步分化，产生炎症因子，尤其是IL一6，抑制p53表达，使淋巴细胞调亡减少，持续产生更多的炎症因子和黏附分子，造成血管炎症。</span></p><p style=\"line-height:200%\">　　</p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">3.结节性多动脉炎</span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">　　血管造影可发现受累的部位。</span></p><p style=\"line-height:200%\">　　</p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">4.韦格内恶性肉芽肿</span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">　　血清抗中性粒细胞细胞浆抗体</span>(ANCA)常为阳性。本病预后不良，皮质激素、细胞毒性药物以及增效磺胺可有一定疗效</span></p><p style=\"line-height:200%\">　　</p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">5.大动脉炎(无脉症)</span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">　　血管造影可发现受累的部位。</span></p><p style=\"line-height:200%\">　　</p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">6 Goodpasure综合征</span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">　　肾脏病理早期为局灶性纤维素样坏死，继而新月体肾小球肾炎进行性发展，肾小球间质炎性细胞浸润，表皮下纤维素沉积，</span>Igc、纤维蛋白原和C1沿基底膜(GBM)呈线样沉积。血清抗GBM抗体阳性，该抗体对抗54一和48 kDa一3，4，5Ⅳ型胶原。该型胶原为GBM的组成成分之一。</span></p><p style=\"line-height:200%\">　　</p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">7.白塞综合征</span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">　　常伴高</span>IgG血症，抗黏膜抗体阳性，HLA—B5和HLA—1327为易发人群。</span></p><p><br/></p>","barId":"2461","topicTypeId":null,"topicThemeId":"1034","readLevel":0,"files":"[]","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":1},{"id":"1458","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"视盘血管炎视神经萎缩","content":"<p><span style=\"color: #333333; font-family: 'Hiragino Sans GB', Helvetica, 'microsoft yahei', simsun, arial; font-size: 14px; line-height: 32px; background-color: #fcfcfc;\">女,35岁。2016年9月15日早上突然发现右眼眼角视野遮挡，检查为视乳头1/4缺损，前期挂了激素治疗一周后改口服强的松，但在九月底视野遮挡严重到上半部分一半，10/7住院进行甲强龙冲击+营养神经冲击疗法，半月后出院改口服甲强龙8片，视野缺损部分始终未改善好转。11月住院球后注射复方樟柳碱+扩张血管,半月后出院视野缺损部分仍无改善。</span></p>","barId":"2461","topicTypeId":null,"topicThemeId":"1033","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":1},{"id":"1732","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"肉芽肿性多血管炎怎么治疗","content":"<p><span style=\"color: #333333; font-family: 'Hiragino Sans GB', Helvetica, 'microsoft yahei', simsun, arial; font-size: 14px; line-height: 32px; background-color: #fcfcfc;\">昨天刚重山西省眼科医院拍眼部cT，门诊大夫说左眼后面全是肉芽，肉芽在生长，病人痰里有血丝，疼人眼疼痛难忍，请问有什么好的治疗方法</span></p>","barId":"2461","topicTypeId":null,"topicThemeId":"1032","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":1},{"id":"3618","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"血管炎鉴别诊断","content":"<ul class=\"z_block12a list-paddingleft-2\"><p>　　血管炎一般应与以下几类疾病鉴别，包括其他结缔组织病、感染、肿瘤、动脉粥样硬化、血栓栓塞类疾病。</p><p>　　1、动脉硬化性脑梗塞或Binswanger综合征，可以表现为多发性脑梗塞伴随白质的损害，大脑皮层一般没有累及，发病年龄较血管炎偏大，常存在动脉硬化的好发因素，血清学检查没有抗中性粒细胞抗体的升高，血管造影也没有血管炎的改变。病理改变在动脉硬化性脑梗塞或Binswanger综合征没有严重的血管壁炎细胞浸润。</p><p>　　2、多发性硬化，部分中枢神经系统血管炎患者的临床表现类似多发硬化，出现自发缓解及复发，伴有视神经病变和脑干病变，脑脊液寡克隆区带阳性，但惊厥、严重头痛及脑病等常出现在中枢神经系统血管炎，很少出现在多发性硬化中。多发性脑梗塞伴随弥漫性的白质损害的影象学改变出现在血管炎，不出现在多发性硬化。</p><p>　　3、感染性病变，许多不同病原感染均可引起血管炎样表现，包括细菌(如链球菌、葡萄球菌、沙门菌、耶尔森病、分枝杆菌、假单胞菌等)、真菌、立克次体、伯氏疏螺旋体以及病毒感染(如甲、乙、丙型肝炎病毒、</p><p>　　巨细胞病毒、EB病毒、带状疱疹病毒、HIV病毒等)，根据其临床表现以及相应实验室检查大多容易鉴别。</p></ul><p><br/></p>","barId":"2461","topicTypeId":null,"topicThemeId":"1029","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":1},{"id":"1894","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"什么是原发性小血管炎","content":"<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">&nbsp; &nbsp; 原发性小血管炎（primary small vessel vasculitis，psv）以小血管受累为主，因与抗中性粒细胞胞浆抗体（antineutrophil cytoplasmic antibody, anca）密切相关，也称为anca相关性血管炎（anca-associated vasculitides and glomerulonephritis，asv），肾脏往往是最常见和致死性的受累部位，是近二十年来临床肾脏疾病中诊断、治疗进展最大的疾病之一，包括wg、mpa、css和incgn。incgn可无系统受累，也有称之为psv的肾脏局限性表现，归类于iii型特发性快速进行性gn（irpgn）。（详见急性肾衰章节）</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　肾脏受累多表现为镜下血尿伴蛋白尿、肾功能快速进行性丧失。病理组织学呈incgn改变，见毛细血管壁纤维素样坏死，毛细血管外增生和新月体形成，免疫荧光无或微量小颗粒免疫球蛋白（igg、igm）沉积。实验室检查多呈非特异性改变。白细胞增高，进行性正细胞、正色素性贫血，部分（尤其css）伴嗜酸性粒细胞增高，血沉增快，c反应蛋白阳性，类风湿因子阳性。</p>\n<p>&nbsp;</p>","barId":"2461","topicTypeId":null,"topicThemeId":"1028","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":2},{"id":"8095","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"血管炎的病因有哪些 ","content":"<p><span style=\";font-family:宋体;font-size:14px\">&nbsp;</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">血管炎是血管壁及血管周围有炎细胞浸润，并伴有血管损伤，包括纤维素沉积、胶原纤维变性、内皮细胞及肌细胞坏死，又称脉管炎。致病因素直接作用于血管壁的为原发性血管炎，在血管炎症基础上产生一定的临床症状和体征者为血管炎疾病</span>;由邻近组织炎症病变波及血管壁致病的为继发性血管炎。</span><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">那么</span><strong><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">造成血管炎的病因</span></strong><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">有哪些呢？</span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"line-height: 200%; text-align: center;\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><img src=\"http://01luntan.com/ly_img/uimgs/1511403963545.jpg\" title=\"血管炎的病因有哪些 \" alt=\"血管炎的病因有哪些 \" width=\"600\" height=\"372\"/></span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><br/></span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\"></span></span></p><p style=\"margin-top:5px;margin-right:0;margin-bottom:5px;margin-left:0;text-indent:32px;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">一、血管炎的</span><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">病因：</span><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">多数病因不明，少数病因较明确，如血清病，药物变态反应及感染，乙型肝炎病毒已证实是长期多种血管炎的病因，进而又发现中华巨细胞病毒、单纯疱疹病毒、成人</span>T细胞白血病病毒，均能引起血管炎。 &nbsp;&nbsp;</span></p><p style=\"margin-top:5px;margin-right:0;margin-bottom:5px;margin-left:0;text-indent:0;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:5px;margin-right:0;margin-bottom:5px;margin-left:0;text-indent:32px;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">二、血管炎的发病机制</span><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">：</span><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">原发性血管炎的发生主要是由免疫异常引起，而研究较多的是体液免疫，对细胞免疫等研究则较少。其致敏原有内源性和外源性两种，在内源性中有核抗原、冷球蛋白和变性免疫球蛋白等</span>;外源性抗原中为多种药物和感染因素等，但在大多数疾病中，其病因仍是不易确定的。</span></p><p style=\"margin-top:5px;margin-right:0;margin-bottom:5px;margin-left:0;text-indent:0;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:5px;margin-right:0;margin-bottom:5px;margin-left:0;text-indent:32px;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">有时</span>,能看到某些特异性组织学改变(如出现大量巨细胞或斑片状纤维蛋白样坏死区,整个血管壁断面遭到炎症破坏与液化).无论在什么部位出现血管壁的炎 症,都可预期由于内膜肥厚或血栓形成而出现继发性管腔闭塞.另外血管壁的完整性一旦受到破坏,红细胞和纤维蛋白即可渗出到血管周围的结缔组织内。&nbsp;&nbsp;</span></p><p style=\"margin-top:5px;margin-right:0;margin-bottom:5px;margin-left:0;text-indent:32px;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:5px;margin-right:0;margin-bottom:5px;margin-left:0;text-indent:32px;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">任何血管都能受到炎症反应的侵犯</span>,包括动脉,小动脉,静脉,小静脉及毛细血管.然而,由于血管炎引起的多种多样病理生理学改变,绝大部分可归纳为动脉的炎症,这种动脉炎都有可能发生完全性或部分性血管闭塞,并随之发生组织坏死。&nbsp;&nbsp;</span></p><p style=\"margin-top:5px;margin-right:0;margin-bottom:5px;margin-left:0;text-indent:48px;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:5px;margin-right:0;margin-bottom:5px;margin-left:0;text-indent:32px;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">由于血管炎症总呈节段性或局灶性病变</span>,对临床上可疑的组织进行活检时,也不一定能够获得确切的血管炎的组织学证据.然而对血管壁上的炎症病灶引起的内膜和外膜周围的纤维化反应,常常从原发病灶向内和向外扩展,因此血管内膜肥厚与纤维变性或血管外膜周围炎等组织学所见往往提示附近有血管炎。</span></p><p style=\"margin-top:5px;margin-right:0;margin-bottom:5px;margin-left:0;text-indent:48px;line-height:200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"></span><br/></p><p style=\"text-indent:32px;line-height:200%\"><br/></p>","barId":"2461","topicTypeId":null,"topicThemeId":"1026","readLevel":0,"files":"[]","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":1}],"pageObj":{"list":[],"list4Map":null,"pageBegin":0,"pageSize":5,"pageNumber":0,"totalPage":0,"totalRow":0},"loginUser":null,"replies":[],"forumUserFans":null,"herfList":[],"only":"0","topic":{"id":"1629","isDel":0,"createAt":1486544056601,"createBy":"623d560be20c11e6a61c00163e04584d","createName":"期缘","updateAt":0,"updateBy":null,"updateName":null,"userId":"623d560be20c11e6a61c00163e04584d","title":"变应性血管炎怎么回事","content":"<p>&nbsp; &nbsp; &nbsp; &nbsp;变应性血管炎（allergic vasculitis）是比较常见的一种疾病，其组织病理有白细胞核破碎的血管炎表现，有皮肤损伤，也有多个内脏损伤。本病有许多名称，为了防止混乱，ruiter认为本病称为变应性血管炎比较合适，本名称体现了由变态反应引起血管的炎性改变。本病轻重不一，轻者仅有皮损数周可愈，严重者可有多脏器受损，甚至危及生命。<br />　　变应性血管炎是以小血管、小静脉、毛细血管和小动脉，尤以毛细血管后静脉的炎症为特点的一组血管炎疾病。肌型动脉不受累及，临床表现以皮肤血管病变为主，皮肤外器官血管病变较轻，多累及关节和肾脏，多不构成不可逆性器官功能障碍和生命危险。变应性血管炎又称小血管炎，过敏性血管炎，白细胞碎片性血管炎。</p>\n<p>&nbsp;</p>","barId":"2461","topicTypeId":"1","topicThemeId":"1028","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1559,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1486544056603,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1486544056601,"metaSearch":null,"rn":null},"userAllInfo":{"id":null,"isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":null,"password":null,"level":0,"nickName":null,"realName":null,"signName":null,"head":null,"phone":null,"mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":0,"userType":0,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":0,"provinceId":null,"cityId":null,"userLevel":0,"modifyNameCount":0,"forumUser":{"id":"623d560be20c11e6a61c00163e04584d","isDel":0,"createAt":1485245349701,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"期缘","password":"yiren2921","level":0,"nickName":"qiyuan99","realName":null,"signName":"早日相逢","head":"/zly-web/resources/images/qq/4.png","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"jzh@zhao01.com","address":null,"identityType":1,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":2,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"forumUserActiveInfo":{"id":"623ff0c7e20c11e6a61c00163e04584d","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":1583978154586,"updateBy":"623d560be20c11e6a61c00163e04584d","updateName":"期缘","userId":"623d560be20c11e6a61c00163e04584d","topicCount":601,"replayCount":5,"favorteCount":0,"beFavorteCount":0,"creamCount":0,"focusCount":0,"fansCount":2,"integralCount":609,"foodCouponCount":6,"lastLoginTime":0,"lastLoginIp":null,"downloadCount":0,"uploadCount":0},"newPass":null,"focusBar":null,"counter":null,"forumUserIdentificateDto":null},"theme":{"id":"1028","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"topicTypeId":"1","topicTypeName":"资讯","themeName":"治疗","barType":"102","schemaName":2,"reward":0},"page":1,"favorties":true,"isSelf":false,"order":"asc"}