急性缺血性脑卒中超早期静脉溶栓治疗中假卒中的临床特点及鉴别

发布时间：2019-07-23 12:24

【摘要】：目的探讨静脉溶栓治疗急性缺血性脑卒中时假卒中的临床特征及其鉴别。方法回顾性分析第二军医大学长海医院2013年9月至2015年2月静脉溶栓、明确诊断假卒中患者的临床资料,并与缺血性脑卒中患者进行比较,分析两组患者临床表现与实验室检查结果的差异。结果静脉溶栓患者212例,明确假卒中患者7例(3.3%),与缺血性脑卒中患者比较,两组患者基线数据无明显差异,精神心理障碍和痴呆病史对鉴别假卒中具有重要价值,头颅MRI、血管评估、脑电图、血液和脑脊液检查有助于明确假卒中的最后诊断。结论少数静脉溶栓治疗的患者最后诊断为假卒中,患者病史结合头颅MRI对鉴别诊断具有重要价值。
[Abstract]:Objective to investigate the clinical features and differential diagnosis of pseudoapoplexy in patients with acute ischemic stroke treated by intravenous thrombolysis. Methods the clinical data of intravenous thrombolysis in Changhai Hospital of the second military Medical University from September 2013 to February 2015 were analyzed retrospectively. the clinical data of patients with pseudo-stroke were clearly diagnosed and compared with those of patients with ischemic stroke. The differences between the clinical manifestations and laboratory results of the two groups were analyzed. Results compared with ischemic stroke patients, there was no significant difference in the baseline data between the two groups. Mental and psychological disorders and the history of dementia were of great value in distinguishing false stroke. MRI, vascular assessment, electroencephalogram (EEG), blood and cerebrospinal fluid examination were helpful to determine the final diagnosis of pseudopoplexy. Conclusion A small number of patients with intravenous thrombolysis are finally diagnosed as pseudopoplexy. The history of the patients combined with skull MRI is of great value in differential diagnosis.
【作者单位】： 第二军医大学长海医院脑血管病中心;
【基金】：上海市科委医学引导项目(124119a8900) 上海申康医院发展中心临床管理优化项目(SHDC2015607)~~
【分类号】：R743.3
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本文编号：2518150