目的: 探讨头臂型大动脉炎的诊断和治疗方法。方法: 回顾性分析8例多发性大动脉炎的临床资料,在8例头臂型大动脉炎患者中重症头臂型5例,其中双侧颈总动脉、锁骨下动脉闭塞 3 例,行升主动脉—双侧颈总动脉—双侧锁骨下动脉与人造血管搭桥。一侧颈总动脉、双侧锁骨下动脉闭塞 1 例,行升主动脉—左侧颈总动脉—双侧锁骨下动脉与人工血管搭桥。左侧颈总动脉及左侧锁骨下动脉闭塞 1 例,行锁骨动脉—锁骨下动脉—左颈总动脉与人造血管搭桥。其余3例单侧锁骨下动脉闭塞行锁骨下动脉—锁骨动脉与人造血管旁路术。结果: 8例大动脉炎患者随防5个月~9年,1 例手术后第 3 年复发,行第二次手术,7 例患者的脑缺血及上肢缺血症状消失,能进行正常生活和工作。结论: 大动脉炎活动期最好用皮质激素,扩张血管,降低血液粘滞度抗血小板聚集等药物保守治疗,病情稳定后,根据病变的血管情况来选择血管重建术和术后继续抗凝治疗是治疗大动脉炎的有效方法。 Objective: To investigate the diagnosis and treatment of auricular arteritis. Methods: The clinical data of 8 patients with multiple arteritis were retrospectively analyzed. Among 8 patients with severe arteritis of the arm, 5 were severe head and arm type. Among them, bilateral common carotid artery and subclavian artery occlusion were performed in 3 patients. The ascending aorta Bilateral common carotid artery - bilateral subclavian artery and artificial vascular bypass. One side of the common carotid artery, bilateral subclavian artery occlusion in 1 case, the ascending aorta - left common carotid artery - bilateral subclavian artery and artificial vascular bypass. Left common carotid artery and left subclavian artery occlusion in 1 case, the line of the clavicular artery - subclavian artery - left common carotid artery bypass and artificial blood vessels. The remaining 3 cases of unilateral subclavian artery occlusion under the subclavian artery - clavicular artery and artificial bypass. Results: Eight patients with aortitis were followed up for 5 months to 9 years. One case had recurrence at the third year after operation. The second operation was performed. The symptoms of cerebral ischemia and upper limb ischemia in seven patients disappeared. jobs. CONCLUSIONS: It is advisable to use conservative treatment of drugs such as corticosteroids, dilation of blood vessels and decrease of blood viscosity to prevent platelet aggregation during the period of aortitis. After stabilization of the disease, vascular revascularization and continuous anticoagulation therapy An effective method of treating arteritis.