基底动脉闭塞致闭锁综合征（附2例报告）  

Locked in syndrome resulted from arteria basilaris obliterans: two cases reported

作　　者：张立英[1] 

机构地区：[1]军事医学科学院附属医院

出　　处：《军事医学科学院院刊》1996年第1期60-61,共2页Bulletin of the Academy of Military Medical Sciences

摘　　要：基底动脉闭塞所致闭锁综合征（ｌｏｃｋｅｄｉｎｓｙｎｄｒｏｍｅ）是临床上一种特殊类型意识状态，由于病情严重，生前能作出明确病因诊断者不多。报告两例生前经临床及头颅ＣＴ证实为脑干梗塞的病例，并提出持续性高血压及长期服用巴比妥类药物，可使脑小动脉痉挛或血流缓慢形成脑血栓而发病。本综合征预后差，但经良好的治疗和精心的护理可使病情得到一定的缓解。Locked in syndrome resulted from arteria basilaris obliterans is a special state of consciousness in clinic,and antemortem definite diagnosis is rare because of patient′s critical condition.Two cases of brain stem infarction confirmed by clinical and cranial CT diagnosis are reported.It is considered that continuous hypertension and long term taking of barbiturate drugs can cause cerebral arteriolar spasm or slowdown in blood flow,resulting in cerebral thrombosis and occurrence of the syndrome.Though with a poor prognosis,the sufferers could have a certain degree of remission and life prolongation by careful treatment and nursing.

关 键 词：脑梗塞 基底动脉 闭锁综合征 

分 类 号：R743.33[医药卫生—神经病学与精神病学] R742.89[医药卫生—临床医学]