颈内动脉夹层动脉病的病因、病理生理、临床诊治及预后研究进展
发布时间：2018-10-16 12:03
【摘要】：颈动脉系的夹层动脉病(CAD)是青年脑卒中的常见原因之一,在脑卒中患者中患病率约占20%,其中颈内动脉夹层动脉病(ICAD)占70%~80%。许多因素如高血压病、糖尿病、创伤等都与其有关。ICAD多表现为同侧颈部疼痛或头痛、Horner综合征及脑缺血。磁共振血管造影为其首选检查方法。ICAD相对预后良好。抗凝与抗血小板药物在其急性期治疗及二级预防中仍存在争议。文中就ICAD的流行病学、临床表现、病理生理、治疗及预后的研究进展进行综述。
[Abstract]:Dissecting disease of carotid artery (CAD) is one of the common causes of cerebral apoplexy in young people. The prevalence rate of dissecting disease of carotid artery is about 20%, of which the (ICAD) of internal carotid artery dissection is 70%. Many factors, such as hypertension, diabetes, and trauma, are associated with it. ICAD is characterized by ipsilateral neck pain or headache, Horner syndrome, and cerebral ischemia. Magnetic resonance angiography (MRA) was the first method of examination and the prognosis of ICAD was good. Anticoagulant and antiplatelet drugs are still controversial in their acute treatment and secondary prevention. This paper reviews the epidemiology, clinical manifestations, pathophysiology, treatment and prognosis of ICAD.
【作者单位】： 中国人民解放军第210医院神经内科;
【分类号】：R743.3
本文编号：2274297
[Abstract]:Dissecting disease of carotid artery (CAD) is one of the common causes of cerebral apoplexy in young people. The prevalence rate of dissecting disease of carotid artery is about 20%, of which the (ICAD) of internal carotid artery dissection is 70%. Many factors, such as hypertension, diabetes, and trauma, are associated with it. ICAD is characterized by ipsilateral neck pain or headache, Horner syndrome, and cerebral ischemia. Magnetic resonance angiography (MRA) was the first method of examination and the prognosis of ICAD was good. Anticoagulant and antiplatelet drugs are still controversial in their acute treatment and secondary prevention. This paper reviews the epidemiology, clinical manifestations, pathophysiology, treatment and prognosis of ICAD.
【作者单位】： 中国人民解放军第210医院神经内科;
【分类号】：R743.3
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