| 董 欣,徐 欢,张克忠,唐金荣,吴 婷,万 琪,燕兰云.椎动脉夹层致脑梗死4例病例报道并文献复习*[J].,2019,19(1):79-82 |
| 椎动脉夹层致脑梗死4例病例报道并文献复习* |
| Cerebral Infarction Caused by Vertebral Artery Dissection (Report of 4 Cases and Literature Review)* |
| 投稿时间：2018-03-24 修订日期：2018-04-18 |
| DOI：10.13241/j.cnki.pmb.2019.01.016 |
| 中文关键词: 椎动脉夹层 脑梗死 临床特点 |
| 英文关键词: Vertebral artery dissection Cerebral infarction Clinical characteristics |
| 基金项目:国家自然科学基金项目（81600970） |
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| 中文摘要: |
| 摘要 目的：分析椎动脉夹层(VAD)的临床特点，探讨其与脑梗死的关系。方法：回顾性分析4例VAD致脑梗死患者的临床资料，并结合文献复习。结果：本组4例VAD患者中，2例患者有高血压病史，1例有高血压病相关家族史，1例无相关病史或家族史；3例患者有10年以上的吸烟史；4例患者均表现为头晕、恶心呕吐、行走不稳等后循环缺血症状，其中2例有显著的头枕部痛；4例患者均经DSA确诊为VAD。3例患者行抗血小板药物治疗，1例行血管内介入治疗。3例患者康复出院；1例治疗后仍有显著的头枕部痛症状，拒绝进一步治疗予出院。结论：脑梗死患者有高血压病及长期吸烟史，表现为头晕、头枕痛等后循环缺血症状，应考虑VAD的可能。DSA是目前诊断VAD的金标准，及时规范的治疗可改善VAD患者的预后。 |
| 英文摘要: |
| ABSTRACT Objective: To analyze the clinical characteristics of vertebral artery dissection(VAD), and investigate the relationship between VAD and cerebral infarction. Methods: The clinical data of 4 cases of cerebral infarction caused by VAD were retrospectively analyzed and the relative literature were reviewed. Results: Among 4 cases, 2 cases had hypertension,1 had family history of hypertension and 1 had no relative condition. 3 cases had been smoking for more than 10 years. All cases mainly presented with symptoms of posterior circulation ischemia and 2 had serious occipital headache. 4 cases were all diagnosed by DSA. 3 cases were treated with antiplatelet drugs and 1 case was treated with intravascular interventional therapy. 3 cases recovered and 1 case with occipital headache refused further treatment. Conclusion: Cerebral infarction patients with history of hypertension and smoking,presented with symptoms of posterior circulation ischemia may have VAD and DSA is currently the gold standard for its diagnosis. |
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