摘要
目的探究头颈部动脉夹层的临床特点,通过超声随访患者分析血管再通的情况。方法对24例自2014年06月-2017年10月于我科诊断为急性脑梗死或TIA,而且经过检查确诊为头颈部动脉夹层的患者,对其临床特点以及治疗和随访进行了分析。结果 24例颈动脉夹层患者的发病高危因素包括近期上呼吸道感染、高血压、结缔组织疾病、颈部按摩、长期吸烟、颈部轻微外伤等。主要给予阿司匹林及氯吡格雷等药物治疗。在治疗后24例患者NIHSS评分均有所降低,并且在随访时没有发生新的缺血性脑卒中事件。在超声随访中,颈部血管中有7例(21.4%)发生再通,再通时间7日至6月不等。结论颈部动脉夹层的临床表现多样,是青年脑梗死的常见病因,应高度警惕。药物治疗是目前颈部动脉夹层的首选治疗方案,其再通率的影响因素尚不十分明确,需更为严密的研究方案来进行研究。
Objective To investigate the clinical features of the arterial dissection of the head and neck,to analyze the condition of revascularization by ultrasound follow-up. Methods Twenty-four cases of acute cerebral infarction or TIA diagnosed in our department from June 2014 to October 2017 were analyzed. Clinical characteristics and treatment follow-up of patients with head and neck arterial dissection were examined. Results The risk factors of 24 patients with carotid artery dissection included recent upper respiratory tract infections, hypertension, connective tissue diseases, neck massage, long-term smoking, and minor trauma to the neck. Drug therapy was mainly treated with aspirin plus clopidogrel（50%）. All patients had reduced NIHSS scores after treatment and no new ischemic events occurred during follow-up. A total of 7 cases（21.4%） of the neck vascular ultrasound follow-up were recanalized, and what is more,the recanalization time is from 7 days to 6 months. Conclusion The clinical manifestations of the cervical artery dissection are various and it is a common cause of cerebral infarction in young adults and should be highly vigilant. Drug treatment is currently the first choice for treatment. The factors affecting recanalization rate are not yet clear, and more rigorous research programs need to be designed for research.
作者
李明磊
刘恒方
LI Ming-lei;LIU Heng-fang(Department of Neurology, the Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, 45000)
出处
《智慧健康》
2018年第5期175-177,180,共4页
Smart Healthcare
关键词
颈动脉夹层
脑梗死
治疗
再通
Carotid artery dissection
Cerebral infarction
Treatment
Recanalization
