脑血管支架成形术后高灌注综合征的临床资料分析  

Clinical Study on Hyperperfusion Syndrome following Cerebral Artery Stenting

作　　者：王云甫[1] 孙强[1] 罗国君[1] 何国厚[1] 

机构地区：[1]郧阳医学院附属太和医院神经内科,湖北十堰442000

出　　处：《神经损伤与功能重建》2007年第4期230-232,共3页Neural Injury and Functional Reconstruction

摘　　要：目的:探讨脑血管支架成形术后高灌注综合征(HPS)的临床诊断与治疗方法。方法:回顾性分析了2例脑血管支架成形术后HPS的临床和影像学资料及诊治经过。结果:2例患者均出现头痛、呕吐、意识障碍、局灶性神经功能缺损等症状,同时影像学提示有脑出血及灶周水肿。经过停用抗凝药物、积极控制血压、应用甘露醇等治疗后均痊愈出院。结论:头痛、呕吐、意识障碍及局部神经功能缺损为HPS常见的临床表现,术后及早识别并采取有效的措施,可以改善预后。Objective： Clinical recognition and treatment of hyperperfusion syndrome （HPS） following cerebral artery stenting have been summarized. Methods： The clinical and radiological informations of 2 patients with HPS following cerebral artery stenting were reviewed. Results： The clinical manifestations of HPS in the 2 cases included headache, vomiting, altered consciousness and neurologic dysfunctions. CT scan showed intracranial hemorrhage with perihematoma edema. The therapy constituted discontinuing anticoagulant drugs, controlling the blood pressure and decreasing intracranial pressure. The 2 patients gained recovery 3 weeks later. Conclusion： The major features of HPS were headache, vomiting, disturbed consciousness and neurologic dysfunction in 18 hours after cerebral artery stenting. Prompt diagnosis and treatment may improve the outcome.

关 键 词：脑血管支架成形术 高灌注综合征 诊断 治疗 

分 类 号：R741[医药卫生—神经病学与精神病学] R743[医药卫生—临床医学]