摘要
目的研究同时累及前后循环脑梗死患者的病因特点。方法收集11例经临床及影像学检查证实的同时累及前后循环脑梗死患者临床资料，分析发病原因。结果11例患者中大部分同时存在多种危险因素，中国缺血性卒中分型（CISS）：大动脉粥样硬化3例（同时存在主动脉弓和颅内外大动脉粥样硬化），心源性栓塞3例，病因不明3例（同时存在心源性栓塞和大动脉粥样硬化可能），其他病因2例（烟雾病1例，真性红细胞增多症1例），3例大动脉粥样硬化患者同时存在多支血管狭窄，并且后交通动脉开放。结论同时累及前后循环脑梗死患者少见，其中心源性栓塞多见，需完善相关检查明确少见原因。
Objective To research the clinical characteristics of cerebral infarction involving the anterior and posterior circulation in the same time. Methods Collected the clinical data of 11 patients with cerebral infarction involving the anterior and posterior circulation in the same time, who was confirmed by clinical and radiographic examination. Results In the majority of 11 patients, they had multiple risk factors in the same time. By Chinese Ischemic Stroke Suhclassification （CISS） criteria, there were 3 patients with large-artery atherosclerotic brain infarction （aortic arch atherosclerosis and intracranial and extracranial large arteries atheroselerosis coexist）, 3 patients with cardiogenic stroke, 3 patients with undetermined etiology （intracranial and extracranial large arteries atherosclerosis and eardiogenic stroke maybe coexist）, 2 patients with other etiologies（1 patient with Moyamoya disease, 1 patient with polycythemia vera）. There were multiple vascular stenosis in the 3 patients with large artery atherosclerosis, and the posterior communicating artery was open. Conclusions Cerebral infarction involving the anterior and posterior circulation in the same time is rare, eardiogenie stroke is more often, the relevant examinations should be perfect to definite the rare cause.
出处
《中国医师进修杂志》
2016年第1期17-19,共3页
Chinese Journal of Postgraduates of Medicine
关键词
脑梗死
后循环
前循环
病因
Cerebral infarction
Posterior circulation
Anterior circulation
Causes
