本文關(guān)鍵詞：腦血管支架成形術(shù)后腦高灌注綜合征　出處：《中國卒中雜志》2016年03期 　論文類型：期刊論文

  更多相關(guān)文章： 腦高灌注綜合征 頸動(dòng)脈支架置入術(shù) 血壓 腦出血

【摘要】：目的探討腦動(dòng)脈支架成形術(shù)后高灌注綜合征(cerebral hyperperfusion syndrome,CHS)的發(fā)病機(jī)制及臨床表現(xiàn)。方法回顧性分析中國人民解放軍第306醫(yī)院4例腦動(dòng)脈狹窄支架成形術(shù)后發(fā)生CHS患者的臨床資料。結(jié)果本組4例CHS中男性3例,女性1例,年齡43~77歲。2例行頸動(dòng)脈狹窄支架成形術(shù)(carotid artery stenting,CAS),1例行CAS及椎動(dòng)脈支架置入術(shù),1例行基底動(dòng)脈狹窄支架成形術(shù)。發(fā)生CHS癥狀時(shí)間在術(shù)后1 h~3 d。癥狀為頭痛3例,右側(cè)肢體偏癱1例,視物不清1例,意識(shí)障礙1例,頭計(jì)算機(jī)斷層掃描(computed tomography,CT)提示腦實(shí)質(zhì)出血2例,蛛網(wǎng)膜下腔出血1例,腦水腫1例。經(jīng)降壓、脫水等治療后,3例均恢復(fù)良好,1例死亡。結(jié)論腦動(dòng)脈支架成形術(shù)后CHS是一種少見及嚴(yán)重的疾病,需提高認(rèn)識(shí),盡早診斷,盡早治療。
[Abstract]:Objective to investigate cerebral hyperperfusion syndrome of hyperperfusion syndrome after cerebral artery stenting. CHS). Methods the clinical data of 4 patients with CHS after stenting of cerebral artery stenosis in 306 Chinese PLA hospital were retrospectively analyzed. Results in 4 cases of CHS, male 3. ... One female, aged 43 to 77 years, underwent carotid artery stenting (CAS). One patient underwent CAS and vertebral artery stenting and one underwent basilar artery stenosis stenting. The onset of CHS symptoms occurred 1 hour and 3 days after operation. The symptoms were headache in 3 cases and hemiplegia in right extremity in 1 case. There were 1 case of unclear vision, 1 case of consciousness disorder, 2 cases of intracerebral hemorrhage and 1 case of subarachnoid hemorrhage. 1 case of cerebral edema. 3 cases recovered well and 1 case died after hypotension and dehydration. Conclusion CHS after cerebral artery stenting is a rare and serious disease, which needs to be recognized and diagnosed as soon as possible. Early treatment.
【作者單位】： 中國人民解放軍第306醫(yī)院神經(jīng)內(nèi)科;
【分類號(hào)】：R743.3
【正文快照】： 支架成形術(shù)治療腦動(dòng)脈狹窄已被證實(shí)可改善顱內(nèi)動(dòng)脈供血狀態(tài),降低卒中的發(fā)生率[1]。經(jīng)皮腦血管支架置入術(shù)后并發(fā)癥的報(bào)道多為血管內(nèi)再狹窄、栓塞、血管閉塞,關(guān)于高灌注綜合征(cerebral hyperperfusion syndrome,CHS) 的報(bào)道較少[2]。CHS臨床主要表現(xiàn)為頭痛、血壓升高、癲癇發(fā)

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