伴右向左分流的隐源性缺血性卒中的临床和影像学特征

发布时间：2018-05-05 14:22

本文选题：隐源性卒中 + 右向左分流　；参考：《中国神经精神疾病杂志》2016年05期

【摘要】：目的分析右向左分流相关隐源性缺血性卒中患者的临床特点及梗死灶影像特征。方法纳入隐源性缺血性卒中患者52例,根据经颅多普勒发泡试验结果分为伴右向左分流组(25例)及不伴右向左分流组(27例)。比较两组人群在人口学资料、脑血管病传统危险因素、梗死灶影像学等方面的差异。结果两组患者的年龄、性别比差异无统计学意义。伴右向左分流组患者无明确脑血管病传统危险因素的比例明显高于不伴右向左分流组(44%vs.14.8%,P=0.015),且其发生后循环梗死也更多见(56%vs.14.8%,P0.01),但两组患者的梗死灶大小无统计学差异(P0.05)。结论无明确脑血管病传统危险因素的后循环梗死患者,应注意排查是否存在右向左分流,以进一步明确卒中病因。
[Abstract]:Objective to analyze the clinical and imaging features of right to left shunt related cryptogenic ischemic stroke. Methods 52 patients with cryptogenic ischemic stroke were divided into two groups according to the results of transcranial Doppler foaming test: right to left shunt group (n = 25) and right to left shunt group (n = 27). The demographic data, traditional risk factors of cerebrovascular disease and imaging of infarct were compared between the two groups. Results there was no significant difference in age and sex ratio between the two groups. The proportion of traditional risk factors without definite cerebrovascular disease in patients with right to left shunt was significantly higher than that in patients without right to left shunt (44vs.14.8P0.015), and 56 vs.14.8G P0.01 was more common in patients with right to left shunt, but there was no significant difference in infarct size between the two groups (P 0.05). Conclusion in patients with posterior circulation infarction without definite traditional risk factors of cerebrovascular disease, attention should be paid to the existence of right to left shunt in order to further clarify the etiology of stroke.
【作者单位】：中山大学附属第一医院神经科广东省重大神经疾病诊治研究重点实验室;
【基金】：2014年广东省公益研究与能力建设专项资金(编号:2014B-020212003) “广东省重大神经疾病诊治研究重点实验室”和“卫计委国家临床重点专科”专项基金资助
【分类号】：R743.3

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