本文選題：隱源性卒中 + 右向左分流��； 參考：《中國神經(jīng)精神疾病雜志》2016年05期

【摘要】：目的分析右向左分流相關(guān)隱源性缺血性卒中患者的臨床特點(diǎn)及梗死灶影像特征。方法納入隱源性缺血性卒中患者52例,根據(jù)經(jīng)顱多普勒發(fā)泡試驗(yàn)結(jié)果分為伴右向左分流組(25例)及不伴右向左分流組(27例)。比較兩組人群在人口學(xué)資料、腦血管病傳統(tǒng)危險(xiǎn)因素、梗死灶影像學(xué)等方面的差異。結(jié)果兩組患者的年齡、性別比差異無統(tǒng)計(jì)學(xué)意義。伴右向左分流組患者無明確腦血管病傳統(tǒng)危險(xiǎn)因素的比例明顯高于不伴右向左分流組(44%vs.14.8%,P=0.015),且其發(fā)生后循環(huán)梗死也更多見(56%vs.14.8%,P0.01),但兩組患者的梗死灶大小無統(tǒng)計(jì)學(xué)差異(P0.05)。結(jié)論無明確腦血管病傳統(tǒng)危險(xiǎn)因素的后循環(huán)梗死患者,應(yīng)注意排查是否存在右向左分流,以進(jìn)一步明確卒中病因。
[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.
【作者單位】： 中山大學(xué)附屬第一醫(yī)院神經(jīng)科 廣東省重大神經(jīng)疾病診治研究重點(diǎn)實(shí)驗(yàn)室;
【基金】：2014年廣東省公益研究與能力建設(shè)專項(xiàng)資金(編號:2014B-020212003) “廣東省重大神經(jīng)疾病診治研究重點(diǎn)實(shí)驗(yàn)室”和“衛(wèi)計(jì)委國家臨床重點(diǎn)�？啤睂ｍ�(xiàng)基金資助
【分類號】：R743.3

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