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目的通过报告2例以耳部症状首发并首诊耳科的原发性小血管炎患者的临床表现、诊断并文献复习,探讨原发性小血管炎基本发病机制、病理、临床表现及诊断。方法对2例患者的临床资料及诊疗经过进行分析,并复习相关文献加以探讨。结果 2例患者临床表现不一,多种途径确诊后治疗,效果良好。结论原发性小血管炎临床表现复杂多样,极易误诊,特别是以往临床上对血管炎导致的耳科疾病认识较少,在耳科的主要表现为耳痛、耳闷、流脓、听力下降等。早期诊治是改善预后的关键,综合判断分析能减少对此病的误诊。
Objective To investigate the basic pathogenesis, pathology, clinical manifestations and diagnosis of primary small vessel vasculitis by reporting the clinical manifestations, diagnosis and review of literature in 2 cases of primary small vessel vasculitis with ear symptoms and the first diagnosis of otology. Methods The clinical data and diagnosis and treatment of 2 patients were analyzed, and the related literatures were reviewed. Results The clinical manifestations of 2 patients were different, and many kinds of pathways were diagnosed and treated with good results. Conclusions The clinical manifestations of primary small vessel vasculitis are complex and diverse, and are easily misdiagnosed. In the past, the clinical knowledge of otological diseases caused by vasculitis is less known. The main manifestations of otitis are earache, boring, pus, hearing Drop and so on. Early diagnosis and treatment is the key to improving prognosis, comprehensive judgment analysis can reduce the misdiagnosis of the disease.